-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
"insomnia" in ROS-neurological or psychiatric?
- Thread starter Karma
- Start date
kevbshields
Guest
I thought that it was constitutional.
What sources are you using?
What sources are you using?
Lisa Bledsoe
True Blue
I agree with Kevin and Kathy...
Thanks for the responses, but now I'm even more confused. 
The manual I'm learning from for E/M is Medical Record Auditor. The only place it states to place any sleeping habits for ROS is under Psychiatric. The instructor said to put it under Neurological. And you all agree to put it under Constitutional? Can you please tell me where that is stated? Is it in the guidelines? Thanks a bunch!
The manual I'm learning from for E/M is Medical Record Auditor. The only place it states to place any sleeping habits for ROS is under Psychiatric. The instructor said to put it under Neurological. And you all agree to put it under Constitutional? Can you please tell me where that is stated? Is it in the guidelines? Thanks a bunch!kevbshields
Guest
Not to add to the confusion, but since insomnia is a sleep disturbance (just like nightmares, frequent awakening, etc), it could be "ticked" under Psychiatric as well.
If you haven't already, you're now discovering that with Auditing E/M items mentioned/documented may fit into more than one category. Just as long as you're using it in one and only one you have no worries.
For instance, if you already have constitutional marked for "no wt. loss", then you could score "insomnia" under the Psych and move your ROS to Detailed.
Just a thought/clarification.
If you haven't already, you're now discovering that with Auditing E/M items mentioned/documented may fit into more than one category. Just as long as you're using it in one and only one you have no worries.
For instance, if you already have constitutional marked for "no wt. loss", then you could score "insomnia" under the Psych and move your ROS to Detailed.
Just a thought/clarification.
007CPC
Guest
- Messages
- 302
- Best answers
- 0
stick with it buddy
Although Kathy and Kevin are technically correct. I would cleave to what you instructor says; just to avoid ambiguity. E/M codes vary extensively to facility mythology and most likely your instructor is training you for a particular facility mythology aimed at a medical record auditor position. If you believe your instructor is hypothetically checking off elements, then you’re just going to be required to remember specific scenarios why you would code a level 2, 4, 1, 5, 3. That is the challenge of E/M which distinguishes a good coder to an advanced auditor. Of course you must not forget the science element.
Although Kathy and Kevin are technically correct. I would cleave to what you instructor says; just to avoid ambiguity. E/M codes vary extensively to facility mythology and most likely your instructor is training you for a particular facility mythology aimed at a medical record auditor position. If you believe your instructor is hypothetically checking off elements, then you’re just going to be required to remember specific scenarios why you would code a level 2, 4, 1, 5, 3. That is the challenge of E/M which distinguishes a good coder to an advanced auditor. Of course you must not forget the science element.
Last edited: