tci General Surgery Coding Alert - 2006 Issue 9

Reader Questions: Ratchet Up Your ROS

Question: What are the differences among ROS levels?California Subscriber Answer: Four review of systems (ROS) levels contribute to the level of history selected for an E/M service. ROS progresses from -nonavailable- to -problem-pertinent- to -extended- and -complete.- In a problem-pertinent ROS, the physician asks questions about the system directly related to the problem identified in the history of present illness (HPI). When the physician asks about a limited number of additional systems, he meets the criteria for an extended ROS. Important: Documentation must include positive responses and pertinent negatives for two to nine systems, according...

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