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Gastroenterology Coding Alert

Use This List for ROS Success

Published on Sun Jan 10, 2010

Also, check if your payer uses Medicare ROS rules. Coders have to count systems constantly in order to ensure the proper review of systems (ROS) level. Use this list to identify the 14 systems as described in CPT 2010. Keep it handy just in case you need a quick reference: What Are Systems? According to CPT 2010, "the following elements of a system review have been identified: • constitutional symptoms [fever, weight loss, etc.] • eyes • ears, nose, mouth, throat • cardiovascular • respiratory • gastrointestinal • genitourinary • musculoskeletal • integumentary [skin and/or breast] • neurological • psychiatric • endocrine • hematologic/lymphatic • allergic/immunologic." Best bet: When counting ROS, be sure to include each review question under one of these categories. Also, if you have a CPT stickler for a payer, check its ROS requirements before coding. "Per CPT nomenclature, a complete ROS would necessitate a review of [...]
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