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PLAN
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Plan
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PRN Status
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Frequency
• • •
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Duration
• • •
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Treatment Plan Start Date
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Treatment Plan End Date
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Progression Plan
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Physitrack
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Release From Care | General
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Release From Active Care | MVC
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Additional Appointment Notes
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Referrals: External
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External Referral
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MRI Referral
• • •
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X Ray Referral
• • •
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Lab Work Request
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Lab Request Information
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Referrals: In-Office
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Acupuncture Referral
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Recommended Visits
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Massage Therapy Referral
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Recommended Visits
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Chiropractor Referral
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Recommended Visits
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Pilates Rehabilitation Referral
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Recommended Visits
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Billing
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Evaluation and Management
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PT Eval - Low Complexity 97161
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PT Eval Moderate Complexity 97162
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PT Eval High Complexity 97163
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Manual Therapy
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Manual Therapy: 97140 (1 Unit)
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Manual Therapy: 97140 2 Units
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Therapeutic Exercise
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Ther Ex | 97110 (1 unit)
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Ther Ex | 97110 (2 units)
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Therapeutic Activity
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Ther Act | 97530 (1 unit)
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Ther Act | 97530 (2 units)
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Neuromuscular Reeducation
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Neuromuscular Reed | 97112 (1 unit)
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Neuromuscular Reed | 97112 (2 units)
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Remote Patient Monitoring
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Remote Patient Monitoring| 99454 (1 unit)
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Remote Patient Monitoring| 99454 (2 units)
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