NOV 02, 2020
Established Patient ROS Documentation
Question: Is there a specific amount of review of systems (ROS) we should be documenting for established patients?
Answer: When billing established patient E/M codes prior to and after January 1, 2021, you should only be reviewing what is pertinent to today’s exam and what the physician determines is medically relevant.
Learn more about E/M in the Learn to Code the Essentials.