tci ED Coding & Reimbursement Alert - 2007 Issue 10

READER QUESTIONS: Complete ROS Requires Double-Digit Reviews

Question: I have a question about the review of systems (ROS) portion of E/M services. What are the differences among problem-pertinent, extended, and complete ROS?Kentucky Subscriber Answer: You-ll need to know the differences among the three ROS levels because ROS is a vital component to determining your E/M code level.Problem-pertinent: The ED physician performs a problem-pertinent ROS when he reviews a single system for the patient during the encounter. A problem-pertinent ROS can support up to a level-three E/M service (99283, Emergency department visit for the evaluation and management of a patient, which requires these three key...

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