Last Modified: 4/30/2020
Location: FL, PR, USVI
Business: Part A, Part B
Q. Can I document the most clinically relevant systems and then say “all other systems reviewed are negative” in order to qualify for a complete (10 system) ROS?
A. This would be allowed if all other systems were, indeed, reviewed and are negative, and if a complete ROS is medically necessary.
Sources: 1995 Documentation Guidelines for Evaluation & Management Services
1997 Documentation Guidelines for Evaluation and Management Services
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