|
Plan (Freewrite)
|
|
|
Impression Symptoms r/t Incident
|
Discussed Plan of Care
• • •
|
|
Imaging / Diagnostic Orders
• • •
|
Lab Orders
• • •
|
|
Procedure Rationale (Freewrite)
|
Procedure Recommendations
• • •
|
|
|
Declined Procedure / Opt Conservative
|
|
Medications
• • •
|
Medications (Freewrite)
|
|
Follow up
|
|
|
PT/Chiropractic Therapy
• • •
|
PT/Chiropractic Therapy Comments
|
|
Co-Manage Care / Chiro/PT
|
Co-manage Care (Other)
|
|
|
Co-manage care (Free write)
|
|
Referral
|
Referral Indication (ICD-10)
• • •
|
|
|
Referral Indication (ICD-10)
|
|
Education / Anticipatory Guidance
|
Education
|
|
|
Diet
|
|
BP Incidental Elevated
|
Anticipatory Guidance
|
|
|
Free Write
|
|
TPI 1-2 Muscle Groups (CPT 20552)
|
TPI 3 or More Muscle Groups (CPT 20553)
|
|
TPI (Freewrite)
|
TPI (Freewrite)
|
|
TPI (Single Select)
|
TPI
|
|
TPI # of Injections
|
|
|
TPI Sites
• • •
|
|
|
Procedure (In Office)
|
|
|
Occipital Nerve Block
|
ketorolac [Toradol] Injection (CPT 96372)
|
|
Occipital Nerve Block
|
Shoulder Injection
|
