Oncology & Hematology Coding Alert

Here's Your Easy Answer to ROS Levels

Keep this guide to stay on track with what constitutes levels. When you file E/M claims, you have three options when determining the review of system (ROS) level: problem-pertinent, extended, and complete. Clip this list for a handy reference when you-re trying to remember the differences between each. Know the Systems Under Consideration The ROS is basically an inventory of the body systems so the physician knows where to direct the physical examination, says Susan Vogelberger, CPC, CPC-H, business office coordinator in Beeghly Medical Park in Ohio. 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. Check out the [...]
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