Trendale
Guru
Hello,
Can someone tell me if the ROS is missing from the H&P, can this be coded down to an expanded problem focused visit/ problem focused? The Physician documented the HPI and the PFSH but no ROS. The physcian also documents labs which shows results pertinent to the patients condition. Can I use some of the lab info to indicate a ros pertinent to the problem?, otherwise this would be a problem focused visit, because there is no ROS documented and I have to code to the lowest.
Thanks in advance!
Can someone tell me if the ROS is missing from the H&P, can this be coded down to an expanded problem focused visit/ problem focused? The Physician documented the HPI and the PFSH but no ROS. The physcian also documents labs which shows results pertinent to the patients condition. Can I use some of the lab info to indicate a ros pertinent to the problem?, otherwise this would be a problem focused visit, because there is no ROS documented and I have to code to the lowest.
Thanks in advance!