Hello, I am auditing emergency room claims and I noticed that another auditor had made a determination for an acute exacerbation of sickle cell HPI to be a single chronic condition and this brought the rating down to an EPF for the history component, which brought the ER visit down to a 99283.

Somehow, it didn't seem right to label an acute exacerbation of a chronic condition as just a chronic condition.
To me, somehow that is like labeling a hyperglycemic incident as a chronic condition of diabetes?

Any thoughts?