ROS can be taken by the physician, or ancillary staff, or even by the patient completing a questionnaire, as long as the physician references it in the note. Documentation guidelines state "The chief complaint ROS and PFSH may be listed as separate items of history, or they may be included in the description of HPI. An ROS and/or PFSH obtained during an earlier encounter does not need to be re-recorded if there is evidence that the physician reviewed and updated the previous information..."
Also, there's the rule that says "If the physician is unable to obtain a history from the patient or other source, the record should describe the patient's condition which precludes obtaining a history."
So the question I have is, how much HPI do you have? Could some of it be credited to ROS instead?
One last thing - You'd only use an IP consult code if the doctor is not the admitting physician.
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