Wiki Ros -MANDATORY IN THE RECORD

[HBULLOCK]

COULD ANYONE TELL ME WHEN AN ROS IS MANDATORY IN THE RECORD? DO YOU NEED IT ON PE OR SICK VISITS? OR PERHAPS BOTH? DEPENDING ON WHAT?? THANKS

 

[marci_ann]

It's not mandatory. If the patient is in to see the doctor for a specific reason (problem focused), then there may not be a ROS. Just a FYI, though - if they do vitals during ROS, that counts as consititutional.

 

[Pam Warren]

Maric-ann, Vitals would not count as anything within the ROS; that would fall under constitutional in the examination, because vitals are an objective assessment, not subjective.

 

[dwaldman]

The following codes require ROS
99202/99242 ROS 1
99203/99243 ROS 2-9
99204/99244ROS 4+
99205/99245 ROS 4 +

99213 ROS 1
99214 ROS 2-9
99215 ROS 4+
For follow ups, If you are counting the history and not just using MDM and Exam to meet the criteria

99221/99253 ROS 2-9
99222/99254 ROS 4+
99223/99255 ROS 4+

99233 ROS 2-9

 

[dwaldman]

99252 would also require Reveiw of systems of one system. I accidently left that out on previous post

 

[HBULLOCK]

Ros

Thanks so much for your info! :d

 

[FTessaBartels]

Comprehensive History

The following codes require ROS
99204/99244ROS 4+
99205/99245 ROS 4 +

99215 ROS 4+
For follow ups, If you are counting the history and not just using MDM and Exam to meet the criteria

99222/99254 ROS 4+
99223/99255 ROS 4+

99233 ROS 2-9

Actually, codes that require a comprehensive history require a review of all 14 systems, with at least 10 systems documented.

F Tessa Bartels, CPC, CEMC