Page 2 of 2 FirstFirst 12
Results 11 to 11 of 11

Er 99281/no ros done

  1. #11
    Daytona Beach, FL
    Medical Coding Books
    According to Highmark Medicare services elements from the HPI can be used to in the ROS. Under their frequently asked questions they state the following:

    When scoring the review of systems (ROS), can you use the systems addressed in the history of present illness (HPI) elements or is that "double dipping"?

    ROS inquiries are questions concerning the system(s) directly related to the problem(s) identified in the HPI. Therefore, it is not considered "double dipping" to use the system(s) addressed in the HPI for ROS credit.

    Date Posted: 10/16/2009, Date Revised: 08/30/2010

    Also, in regards to using the nurse's documentation for the ROS - yes that can be used as long as the doctor has documented that he has reviewed the information and where the information is located in the chart. Medicare allows the PFSH and the ROS to be documented by ancillary staff or by the use of forms completed by the patient, but this information has to be sent with the notes if the chart is being audited.

    Hope this helps.

    Last edited by jdibble; 12-15-2010 at 07:35 AM.
    Jodi Dibble, CPC

Page 2 of 2 FirstFirst 12

Similar Threads

  1. need help with EM 99281-99285 codes
    By 19amepp12 in forum E/M
    Replies: 2
    Last Post: 11-06-2014, 06:19 AM
  2. ED E/M Level Code 99281 or 99283?
    By naena001 in forum Emergency Department
    Replies: 1
    Last Post: 03-08-2014, 06:41 AM
  3. Emergency Room Codes 99281-99288
    By CrysLednum in forum Medicare Regulations
    Replies: 2
    Last Post: 01-07-2010, 01:12 PM
  4. ROS: see ROS from (other document)
    By renifejn in forum E/M
    Replies: 3
    Last Post: 07-13-2009, 03:59 PM
  5. ROS Help!! What is proper language for ROS?
    By jvalntine in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-10-2009, 06:07 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.