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Orthopedic Coding Alert

You Be the Coder:
Document An Incomplete ROS

Question: When we have an established patient that comes into our office that needs to be sent to the hospital, we don’t perform a complete review of systems. Will these be level 4 or 5 established patient office visits? Montana Subscriber Answer: As with other visits, you should determine the code selection by the visit’s documentation. You can give credit if a [...]