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Acute vs chronic pain

  1. #1
    Exclamation Acute vs chronic pain
    Medical Coding Books
    If a patient has chronic neck and back pain, and the physician indicates that it is "exacerbated" on this encounter, can I assign acute pain?

  2. #2
    Quote Originally Posted by maudys View Post
    If a patient has chronic neck and back pain, and the physician indicates that it is "exacerbated" on this encounter, can I assign acute pain?
    I wouldn't. Try to only code what is documented.

  3. #3
    An exacerbation of chronic pain wouldn't mean that the patient now has acute pain dx, only that the chronic pain issue is worse d/t the exacerbation. I would code this as chronic pain based on the info given in your post.


  4. #4
    what if the physician documents "chronic pain with acute flare up"? I know, I'm grasping.

  5. #5
    I like this question and was hoping more eyes could look at it and respond?

    My MD wrote Acute flare-up of Chronic Back Pain

    Still chronic back pain only?
    Heidi Thompson, CPC

  6. #6
    Still chronic back pain only.
    Walker Bachman, CPC, CPPM

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