Howâ€™s it going codegirl!
Your E/M question is quite a conventional one that I use to ponder within the first months of auditing ER-EM back in 2005. The context in which you could take a ROS subelement and place it in the exam subelement is all really determined by the severity of the condition your coding; e.g. If you were coding a case in which level of service was tottering between a 1,2 or 3, you wouldnâ€™t take the element from ROS. But if the severity of the condition were tottering between a 4, or 5 to a Critical care plateau it would be appropriate. Then again it all really depends on the mythology youâ€™re coding from. Since E/M varies from facility mythology quite extensively, I would code the way your superior wants it coded. If you are a superior, then I would check with who ever tells you what guidelines to code by. I never reached that superior plateau.
Hoped this helped
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