REVIEW OF SYSTEMS

I'm coding a consult and all they have under ROS is "remainder of review of systems was negative". I was able to pull card/vasc and hem/lymph from the history, which I think I can use for the ROS but then the rest they say "remainder of review of systems was negative"?

Thanks,

Donna Gullikson, CPC, CIRCC
Lead Coder
MCBS, LLC
1125 Troupe St.
Augusta, GA 30904
706-667-7412 office
706-737-1314 fax
donnagullikson@mcbs.com

[MCBS Logo - Email]

Comments

  • A complete ROS inquires about the system(s) directly related to the problem(s) identified in the HPI plus all additional body systems.

    DG: At least ten organ systems must be reviewed. Those systems with positive or pertinent negative responses must be individually documented. For the remaining systems, a notation indicating all other systems are negative is permissible. In the absence of such a notation, at least ten systems must be individually documented.
  • I would count neuro..

    Karyn Cardenas-Foray, CPC, CPMA ,CHCA, CEMC,CIMC,CSEMC
    AHIMA ICD10 PROFICIENT
    Government Reimbursement Analyst-Sharp Health Care
    PFS-CCD 3rd Floor
    858-499-4382

  • I would count 2 Musculoskeletal (with fracture of wrist/ obvious deformity of radius) and neuro )patient states no numbness)

    Mindy L Dowd CPC,CPMA
    Denver Arthritis Clinic
    200 Spruce St
    Suite 100
    Denver,CO 80230
    (303)302-7433
    mdowd@dacdenver.com

  • 1 musculoskeletal
    1 neuro



  • 2 Neuro and Musculoskeletal
  • 1 neuro as the musculoskeletal information is most likely being used for HPI.

    "Somewhere, deep inside, we can all fly." (unknown author)
    Wendy A. Weisel, CPC
    Coding & Reimbursement Analyst II
    Consolidated Coding and Billing
    University of Virginia Physicians Group

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