When a patient has a condition that is both acute and chronic, how should it be reported?

• A. Code both acute and chronic, sequencing the acute first
• B. Code only acute
• C. Code only chronic
• D. Code neither

Answer: (A)

When a condition is described as both acute and chronic, code both states to reflect the current episode and the patient’s baseline. The acute state is coded first because it represents the active problem driving the visit and treatment decisions, while the chronic state is coded next to document the long-standing condition that can influence management and prognosis. If you only code the acute part, you miss the ongoing, underlying issue; if you only code the chronic part, you miss the current acute episode. Coding both ensures a complete and accurate clinical picture.