tci General Surgery Coding Alert - 2017 Issue 9

Reader Question: Take This ROS Tip Post-Hysterectomy

Question: Our surgeon evaluated a patient for surgery for abdominal endometriosis following a complete hysterectomy for endometriosis. Can we still count the genitourinary system toward the ROS to determine the E/M level even though the reproductive organs have been removed? Texas Subscriber Answer: Yes, you can count the genitourinary system toward the review of systems (ROS) for your E/M level. ROS is part of the history for an E/M service that the physician uses to understand what has gone on with the patient in the past. Of course a review of the genitourinary system would be an important part...

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