Pediatric Coding Alert

Let these answers provide you with the who, what, how, and why of system review recording.

You know a review of systems (ROS) is a factor in determining an evaluation and management (E/M) service level, but do you know how many systems you should count for a specific level? More, do you know how you should document the review?

Here are four questions for you to answer that will help you understand how ROS fits into the E/M equation. We’ve also provided some expert opinion to add depth to your E/M coding skills.

Question 1: Why is an ROS needed?

Question 2: What are the different kinds of ROS, and how do they help determine the E/M level?

Question 3: Who can record an ROS?

Question 4: How do you document an ROS?

Think you know the answers?