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Thread: Comprehensive ROS

  1. #1

    Default Comprehensive ROS

    AAPC: Back to School
    Do the systems reviewed need to be relevant to the presenting problem? One of my docs says the ROS is independent of the problem and now I am confused...She is creating a ROS template to address>10 systems reviewed to cover all levels she codes. Any input on this?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default There are 14 systems

    A patient questionaire should have all the systems present. The doctor only needs to review this and then comment on the pertinent positive/negative systems.

    There are 14 systems in the Review of Systems. I'd recommend that your template have all 14 of them represented. The doctor needs only to review 10 of the 14 in order to get credit for a complete ROS.

    You only need this highest level of ROS for: 99222-23 / 99204-05 / 99244-45 / 99254-55 / 99215 / 99285 / 99219-20.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Boston, MA


    Also be mindful that the ROS (as everything else) should be medically necessary. A complete ROS can be excessive if the patient is seen for a minor ailment.

  4. #4
    Join Date
    Apr 2007
    Greeley, Colorado


    A complete ROS is really only medically necessary for new patients and consultations - in most cases. It is my opinion that the ROS should be medically necessary or relevant to the presenting problem.
    Lisa Bledsoe, CPC, CPMA

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