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Physical components

  1. #1
    Wink Physical components
    Medical Coding Books
    How important is the ROS when performing a physical?

  2. #2
    Salt Lake City
    Its part of the history not the physical exam.
    Jenifer McPolin CPC, CPMA, RCC

  3. #3
    I understand that, I meant as a component when doing a complete physical

  4. #4
    Salt Lake City
    no it has no bearing on the physical exam.
    Jenifer McPolin CPC, CPMA, RCC

  5. #5
    Okay, so to make sure I understand and that it's understood what I'm asking is that CPT defines a preventative medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction, and etc. So the history is a compenent of an annual examination. My question is does the ROS have to be a part of the history as in a problem oriented visit or just the past history or is it defined? Thanks for your input.

  6. #6
    Salt Lake City
    if you are using cpt 99201-99205 99211-99215 or 99241-99245 yes the ROS needs to be a part of the history.
    Jenifer McPolin CPC, CPMA, RCC

  7. #7
    Milwaukee WI
    Default Appropriate history
    There are no specific guidelines for preventive exams as there are for sick visits.

    The requirement per CPT is that the service be age and gender appropriate.

    Do you need an ROS for a well-baby visit on a 2-month old? Probably not much of one.

    Do you need an ROS for a 40 YO patient you haven't seen in a year? I would think you would. How else will you discover those "little things" that patients never come to see you for but which might portend something more serious.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  8. #8
    Red face
    Thank you, yes, that helps.

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