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General Surgery Coding Alert

You Be the Coder:

Avoid '10 Negative ROS' Pitfall

Published on Tue Jul 17, 2018

Question: Can we count a “complete” ROS when the surgeon includes a statement such as “A 10-point ROS was negative” in the exam notes? Nebraska Subscriber Answer: No, reporting as “negative” any number of systems fewer than 14 does not satisfy the abbreviated notation requirement for review of systems (ROS) when you’re determining the appropriate E/M level. Basis: A complete [...]
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