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LEFT SHOULDER
RIGHT SHOULDER
LEFT KNEE
RIGHT KNEE
LEFT OTHER
RIGHT OTHER
LEFT RCR
RIGHT RCR
LEFT RCR/SAD
RIGHT RCR/SAD
LEFT DCE
RIGHT DCE
LEFT SAD
RIGHT SAD
LEFT Biceps tenodesis (arthroscopic)
RIGHT Biceps tenodesis (arthroscopic)
LEFT Subpec biceps tenodesis
RIGHT Subpec biceps tenodesis
LEFT Bankart repair
RIGHT Bankart repair
LEFT Remplissage
RIGHT Remplissage
LEFT SLAP repair
RIGHT SLAP repair
LEFT Debridement SLAP / DJD
RIGHT SLAP / DJD
LEFT TSA
RIGHT TSA
LEFT Reverse TSA
RIGHT Reverse TSA
LEFT Hemiarthroplasty
RIGHT Hemiarthroplasty
LEFT Distal Clavicle ORIF
RIGHT Distal Clavicle ORIF
Shoulder ice
Shoulder ice
SLING
SLING
LEFT PMM
RIGHT PMM
LEFT PLM
RIGHT PLM
LEFT PMM/PLM
RIGHT PMM/PLM
LEFT MMR
RIGHT MMR
LEFT LMR
RIGHT LMR
LEFT Chondroplasty
RIGHT Chondroplasty
LEFT ACLR
RIGHT ACLR
LEFT TKA
RIGHT TKA
LEFT UKA
RIGHT UKA
LEFT Quad repair
RIGHT Quad repair
LEFT Patellar tendon repair
RIGHT Patellar tendon repair
LEFT MPFL reconstruction
RIGHT MPFL reconstruction
Hinge knee brace
Hinge knee brace
Knee Ice
Knee Ice
LEFT Distal biceps repair
RIGHT Distal biceps repair
LEFT Achilles Tendon Repair
RIGHT Achilles Tendon Repair
Left Triceps Tendon Repair
Right Triceps Tendon Repair
LEFT Elbow arthroscopy
RIGHT Elbow arthroscopy

Surgery billing Medical Form

Orthopedic Surgeon

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Published: Feb. 6, 2023, 4:02 p.m.
Doctor: Dr. History Physical
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Sunnyvale, CA 94089

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