tci E/M Coding Alert - 2016 Issue 4

E/M Elements: Keep Accurate ROS Count to Make Correct E/M Decision

Spot complete ROS and you might be able to code a high-level E/M. When you’re coding for your provider’s E/M services, keep a close eye on the number of systems she reviews. If you don’t choose the proper review of systems (ROS) level, the coding consequences could cost your practice money. For example, a limited ROS can support up to a level-three new patient code (99203, Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: a detailed history; a detailed examination; medical decision making...

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