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GEN: Normal
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GEN: Abnormal/Comments
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Venous Exam
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VCSS Right Leg
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PAIN
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VARICOSE VEINS
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EDEMA
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SKIN HYPERPIGMENTATION
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INFLAMMATION
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INDURATION
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ULCER
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ULCER DURATION
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ULCER SIZE
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COMPRESSION THERAPY
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Right Leg VCSS Total
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VCSS Left Leg
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PAIN
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VARICOSE VEINS
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EDEMA
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SKIN HYPERPIGMENTATION
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INFLAMMATION
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INDURATION
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ULCER
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ULCER DURATION
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ULCER SIZE
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COMPRESSION THERAPY
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Left Leg VCSS Total
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CEAP Score
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Right Leg CEAP Score
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Left Leg CEAP Score
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Bilateral DX Codes(important codes)
• • •
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Other PE findings
• • •
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Lymph Measurements (MC/HumanaMC/UHC PPO
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Lymphedema (no measure/other insurance)
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Venous Ultrasound performed
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Arterial Ultrasound Performed
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Right Ankle Measurement
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Right Calf Measurement
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Right Knee Measurement
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Right Thigh Measurement
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Left Ankle Measurement
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Left Calf Measurement
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Left Knee Measurement
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Left Thigh Measurement
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Lower Extremity Hyperplasia
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Lower Extremity Hyperplasia
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Venous Ultrasound
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Venous Ultrasound Findings
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DONT USE
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Venous Ultrasound
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No DVT Bilateral
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Deep Venous Reflux LE
• • •
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Superficial Venous Findings
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SFJ Right Leg
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Left SFJ Reflux
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SPJ or SSV Junction Right Leg
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SPJ or SSV Junction Left Leg
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Closed/Ablated Right leg Veins
• • •
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Closed/Ablated Left Leg Veins
• • •
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DVT/SVT Venous US Right leg
• • •
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DVT/SVT Venous US Left leg
• • •
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Additional Venous US comments
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Arterial Ultrasound Findings
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Arterial Ultrasound
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Multiphasic Arterial Throughout B/L LE
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Abnormal Arterial Flow Right leg
• • •
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Abnormal Arterial Flow Left leg
• • •
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Additional Arterial US comments
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Additional Exam Comments
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