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Q&A: Coding the term “exacerbated” and linking systolic dysfunction with CHF

Q: I’ve heard that “exacerbated” can't be used to code acute-on-chronic congestive heart failure (CHF). Coding Clinic, however, states that it can be used. Can you clarify?

I’ve also heard that best practice is not to link diastolic dysfunction with CHF. The Coding Clinic, First Quarter, 2009, says it's okay to link systolic dysfunction with CHF, however. Wouldn’t this be the same for diastolic dysfunction?

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