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Did you complete an exam?
Exam Completed
Plan
Severely Inflammatory Phase
Inflammatory Phase
Repair Phase
Strengthening Phase
Supportive Care
Treatments Rendered
Examination
99202 Unbilled Initial Examination
99212 Unbilled Re-examination
99203 Initial Examination
99213 Re-examination
99204 Initial Examination
99214 Re-examination
99205 Initial Examination
99215 Re-examination
Chiropractic Manipulative Therapy
Mobilization
98940 1-2 Region
98941 3-4 Region
98942 5 Region
98943 Extraspinal Region
Active Therapy
Exercise (Select Units)
1 UNIT OF EXERCISES 97110
2 UNITS OF EXERCISES 97110
NECK
NECK 1 (Ret, Towel)
Neck 2 (Seated Ret, LF, Deep flexors)
Neck 3 (Ret/Ext, UCS rehab/stretch)
Neck 4 (RtF, Postural)
SHOULDERS
SHLD 1 (Codman's, Wall Walks)
SHLD 2 (Wallball, Apley)
SHLD 3 (Int/Ext rot, Scap stab.)
SHLD 4 (Overhead, Adv. Stab.)
LOW BACK
LB 1 (Breathing, Tilts, Elbows, Stretch)
LB 2 (Loaded, Bird Dog, Cat/Cow)
LB 3 (Adv MDT, squats, bridges)
LB 4 (Sgl-leg, RtF, Bands)
LB 5 (Adv fxn, weighted)
HIP
New Short Text Field
HIP Stage 1 Exercises (1 Unit)
HIP Stage 2 Exercises (1 Unit)
HIP Stage 3 Exercises (1 Unit)
HIP Stage 4 Exercises (1 Unit)
HIP Stage 5 Exercises (1 Unit)
OTHER Therapeutic Exercise
1 Unit Exercises (wrist flexion and extension with bands)
1 Unit Exercise (knee flexion and extension with bands)
Thera Activity (Select Units)
1 UNIT OF THERA ACTIVITY 97530
2 UNITS OF THERA ACTIVITY 97530
NECK Therapeutic Activity 1 Unit
SHOULDER Therapeutic Activity 1 Unit
THORACIC Therapeutic Activity 1 Unit
LUMBAR Therapeutic Activity 1 Unit
HIP Therapeutic Activity 1 Unit
OTHER TA (knee flexion and extension)
Neuromuscular Re-Education
Neuromuscular Reeducation 1 Unit
NMR Area and Movement (hip flexion and extension)
Neuromuscular Reeducation 2 Units
NMR Area and Movement (hip flexion and extension)
Passive Therapies
Hot or Cold Packs
Hot Packs 97010
HMP Application Area?
Cold Packs 97010
Cryotherapy Application Area?
Electric Stim Attended
Electric Stim 1 Unit 97032
EMS Application Area?
Electric Stim 2 Units 97032
EMS Application Areas?
Manual Therapy
Manual Therapy 1 Unit
Manual Therapy Areas?
Manual Therapy 2 Units
Manual Therapy Areas?
Traction (Update Units)
Traction 1 Unit
Traction Area?
Traction 2 Units
Traction Areas?
Ultrasound
Ultrasound 1 Unit
Ultrasound Area?
Ultrasound 2 Units
Ultrasound Areas?
DME
FOOT ORTHOTICS
BRACING
Cervical Orthosis
Thoracic Lumbar Sacral Orthosis
Lumbar Sacral Orthosis
Other
OTHER THERAPIES (Full Sentence add in billing)

MVP Chiro SOAP Plan Medical Form

Chiropractor

There are 1 copies in use.
Published: Nov. 16, 2021, 12:36 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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Sunnyvale, CA 94089

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