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Wiki Acute on Chronic - do you code both

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avon4117

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do you code both..which is first?
 
It depends on the condition.

Some have a Acute on Chronic option

Examples:

M93.032 - Acute on chronic slipped upper femoral epiphysis (nontraumatic), left hip
I50.23 - Acute on chronic systolic (congestive) heart failure

if there isn't a combined option available follow ICD-10-CM guideline I.B.8

Acute and Chronic Conditions
If the same condition is described as both acute (subacute) and chronic, and separate subentries exist in the Alphabetic Index at the same indentation level, code both and sequence the acute (subacute) code first.
Click to expand...
 
this patient has non-traumatic acute on chronic subdural hematoma....I62.01 is for acute...I62.03 is for chronic....just wondering is i should use both codes:confused:
 
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