When coding for 99221-99223, I have seen mixed reviews on what is acceptable for a complete ROS, some state that if you document the positive systems with associated symptoms, and write "all other systems reviewed and negative" it is acceptable for a 99222 or 99223 (with all other requirements being met, MDM, history, PE)
Ex:
Constitutional: fever, chills
Eyes: Negative
ENT: negative
Respiratory: negative
Cardio: negative
Gastro: negative
musculo: negative, except as documented in hpi
integumentary: negative, except as documented in hpi
All other systems were reviewed and negative.
or would be need to address: psych, neuro, endo, lymph, immuno as well to get all?
Ex:
Constitutional: fever, chills
Eyes: Negative
ENT: negative
Respiratory: negative
Cardio: negative
Gastro: negative
musculo: negative, except as documented in hpi
integumentary: negative, except as documented in hpi
All other systems were reviewed and negative.
or would be need to address: psych, neuro, endo, lymph, immuno as well to get all?