There are 14 systems in the ROS. ANY remark, positive or negative, about the pertinent system(s) is counted as reviewing that system.
BUT I'm confused by your example, because I'm not sure it's the ROS vs the exam. And just naming the body part is not the same as a review of systems. The ROS is really looking at symptomology in the past (or absence of it).
The review of systems is the physician's query of the patient about symptoms or issues they patient may (or may not) have had with the various systems.
So, for example, when a patient presents with a chief complaint of wheezing and cough, the physician might ask if the patient has had any headache (neuro), sneezing or running nose (ENT), nausea (GI), chest pain (CV), itchy eyes (eyes OR allergy).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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