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X-Rays
73630: 3 Views Left Foot
73630: 3 Views Right Foot
73610 - 3 Views Left Ankle
73610: 3 Views Right Ankle
Radiology Comments
Plan
Plan
Strapping
29540 - (LT) Strapping Foot/Ankle
29540 - (RT) Strapping Foot/Ankle
29550 - (LT) Toe Strapping
• • •
29550 - (RT) Toe Strapping
29580 - (LT) Apply Paste Boot
29580 - (RT) Apply Paste Boot
29581 - Apply Multilay Compression
29405 - (LT) Below the knee cast
29405 - (RT) Below the knee cast
29425 - Ambulatory Leg Cast
Wound Debridement
Calluses
11000 - Debride Infected Skin
11055 - Trim Skin Lesion
11042 - Deb Subq Tissue
11056 - Trim Skin Lesion 2-4
11043 - Deb Ulcer Muscle
11057 - Trim Skin Lesion >4
11044 - Deb Ulcer Bone
11303 - Shaving of Lesion
11046 - Deb Mus/Fasc Add-on
Nails
11047 - Deb Bone Add-on
11720 - Debride Nail 1-5
97597 - Wound Debridement
11721 - Debride Nail >6
11730 - Nail Avulsion
11750 - Removal Nail Bed
11765 - Excision of Nail
11755 - Biopsy of Nail Unit
11106 - Incisional Biopsy
16020 - Dress Thick Burn
17110 - Lesion Removal <14
17111 - Lesion Removal >14
10061 - Drainage of Abscess
11403 - Excsn, benign lesion
15786 - Abrasion, Single Lesion
10120 - Rmv Frgn Body Simple
10121 - Rmv Frgn Body Complex
13131 - Repair Complex Feet
13132 - Repair Complex >2.5cm
Labs
11104 - Punch Biopsy of Skin
11102 - Shave Biopsy of Skin
20220 - Biopsy of Bone Trocar
20240 - Biopsy of Bone Sprfcl
Injections
20550 - (LT) Inj Tendon/Ligament
20550 - (RT) Inj Tendon/Ligament
20600 - (LT) Injection Toes
• • •
20600 - (RT) Injection Toes
• • •
20605 - (LT) Inj Joint Ankle
20605 - (RT) Inj Joint Ankle
20612 - (LT) Inj Aspirate Ganglion
20612 - (RT) Inj Aspirate Ganglion
64450 - Anesthetic Nerve Inj
64455 - Anesthetic Nerve Inj
J3301 - Triamcinolone Inj
J2001 - Lidocaine Inj
J1100 - Dexamethasone Inj
J1040 - Depo-Medrol 40mg/ml
76942 - Ultrasound Img Guidance
76881 - Ultrasound Joint
DME
L3000 - Custom Orthotics
L5000 - Orthotic W/ Toe Filler
A5500 - Diabetic Shoes
A5513 - Diabetic Shoe Insert
L1902 - Ankle Brace
L1971- ankle brace
L1971 - Functional Ankle Brace
L3260 - Post Op Shoe
L4361 - Cam Walker Boot
L4397 - Night Splint
Night splint
Q4038 - Cast Supplies
A6453 - Self Adhere Band
E0730 - TENS Unit
A4595 - Electrodes (2 Pack)
Retail
00012 - Topical Antifungal
00018 - Ancient Greek Therapy
00006 - OTC Orthotics
00007 - Compression Socks
00017 - Face Mask
00014 - Foot Antisperspirant
00008 - Cast Protector
00009 - Night Splint
00025 - Kamea G
00015 - Kera HC
00021 - Muscle Rub
Office Visits
Plan
99202 - New Patient Limited Exam
99203 - New Patient Expanded Exam
99204 - New Patient Detailed Exam
99212 - Established Limited Exam
99213 - Established Expanded Exam
99214 - Established Detailed Exam
97760 - Orthotic Training Initial
97763 - Orthotic Training F/U
64455 (RT)-Inject neuroma
64455 (LT)-Inject neuroma
20600 (RT)- large joint injection
20600 (LT)- Inject large joint
20605 (RT)-Small joint injection
20605 (LT)- Inject small joint
Medication
• • •
Referrals
PT Recommendations
Education
General Instructions
• • •
Orthotics scan
Orthotics scan
Plan

SOAP Plan Medical Form

Podiatrist

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Published: Dec. 3, 2020, 8:07 p.m.
Doctor: Dr. History Physical
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