tci E/M Coding Alert - 2017 Issue 8

Reader Question: Count Removed Organ Towards ROS

Question: If the physician examines a patient who has had an organ removed, canyou can still countthat organ towards the physical exam or ROS in scoring the E/M level? Texas Subscriber Answer: Yes. A system is a system, not an organ. So, if you have a lung removed, you still have another one, says Suzan Hauptman, MPM, CPC, CEMC, CEDC, AAPC Fellow, senior principal of ACE Med Group in Pittsburgh. You also have a nose, pharynx, etc. If you have a kidney removed, or even both, you still most likely have a bladder, ureters, urethra, urostomy, etc...

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