tci ED Coding & Reimbursement Alert - 2008 Issue 4

Reader Questions: Tally System Reviews for Complete ROS Picture

Question: There are three review of systems (ROS) levels: problem-pertinent, extended and complete. What are the differences among these three levels? Nebraska SubscriberAnswer: Each ROS level is defined by the number of systems your physician checks during the patient encounter. Medicare defines these systems for documentation purposes: - constitutional symptoms - eyes - ears, nose, mouth and throat - cardiovascular - respiratory - gastrointestinal - genitourinary - musculoskeletal - integumentary (skin and/or breasts) - neurologic - psychiatric - endocrine - hematologic/lymphatic - allergic/immunologic.Problem-pertinent: When the physician performs a problem-pertinent ROS, he reviewed one system for the patient during...

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