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ROS for inpatient E/M

  1. #1
    Default ROS for inpatient E/M
    Medical Coding Books
    A physician in the group is stating that a ROS is not necessary in a
    inpatient consult or inpatient revisit note. Anyone have any comments?
    Also any supporting documents?

  2. Default
    He does not have to have a review of systems but he will only be able to code the lowest level code - 99251.

  3. #3
    Milwaukee WI
    Default Referring to chart
    Perhaps your MD is thinking that if the complete ROS is already a part of the medical record (e.g. in the H&P) for the patient. HOWEVER, in order to get credit for this, the consulting MD must document something along lines of "For ROS and PMFSH, I have reviewed the H&P done by Dr Admitting on mm/dd/yy"

    As for the "revisit" ... this would be a subsequent hospital visit and only two of the three elements need to be met ... Exam and MDM would suffice.

    F Tessa Bartels, CPC, CPC-E/M

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