tci ED Coding & Reimbursement Alert - 2009 Issue 9

READER QUESTIONS :Group Same-System ROS Queries Together

Question: Encounter notes indicate that during the course of an E/M, a patient complains of chest pain. In response, the physician asks the patient to describe the chest pain; he also asks the patient if he has had any heart palpitations or a rapid heartbeat. Is this a problempertinent or extended review of systems (ROS)? South Carolina Subscriber Answer: This is a problem-pertinent ROS, in which the physician conducts a single system review. This ROS level can support up to a level-three ED E/M (99283, Emergency department visit for the evaluation and management of a patient, which requires these...

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