Wiki ROS in IP Consult setting for initial visit

[wynonna]

For 99221, 99222, 99223 how does ROS with less than 10 elements fit in?
I'm looking at an 8 page consult.
Going by my E&M worksheets, I see a history section with elements of history comprehensive except ROS. On my Consult note, I have 4 under HPI, 6 under ROS, and all 3 components for PFSH.
For ROS, I have 6 systems noted. We are ENT so a complete ROS is not always done.
If there are 6 elements under ROS, doesn't that make this initial consult a 99221 because of detailed and not comprehensive history?
thank you

 

[thomas7331]

That's correct. If the ROS is not complete then the history is detailed at most, and the highest level that can be supported is 99221 (unless it can be billed using time).

 

[wynonna]

For Ear Nose, and Throat, would it be appropriate for the MD to ask patien
t about all organ/body systems and note "All others negative" for endocrine, musculoskeletel etc, lymphatic, allergy/immunological, etc in order to rule out any other comorbidities or symptoms?