Wiki Ros

[christinec]

I am wondering if some of you can clear something up. I have been under the impression that all e/m levels above a 99201 REQUIRE a ROS, as does everything above a 99212...is this correct? A few of our providers disagree with this and say an ROS is not always needed (not talking about being carried over, they're saying ROS is simply not always needed)

Thanks

 

[Squiabro]

Some providers may be referring to the EM guidelines posted on CMS.gov which state ROS may be obtained from earlier encounter...........see excerpt below.
DG: The CC, ROS and PFSH may be listed as separate elements of history, or they may be included in the description of the history of the present illness.

DG: A ROS and/or a PFSH obtained during an earlier encounter does not need to be re-recorded if there is evidence that the physician reviewed and updated the previous information. This may occur when a physician updates his/her own record or in an institutional setting or group practice where many physicians use a common record. The review and update may be documented by: describing any new ROS and/or PFSH information or noting there has been no change in the information; and noting the date and location of the earlier ROS and/or PFSH.

Hope this helps!