Diabetic Foot Exam Form

Diabetic Foot Exam Form - Comprehensive (visual, sensory, pulse) diabe c foot exam. Any change in the foot. Cpt code (2028f, g0245, g0246, g9226) Has the patient had prior foot care education? (check all that apply.) ii. Does the patient need diabetic shoes/ inserts? Adapted from the national diabetes education program’s foot screening form.

Adapted from the national diabetes education program’s foot screening form. Has the patient had prior foot care education? Does the patient need diabetic shoes/ inserts? (check all that apply.) ii. Comprehensive (visual, sensory, pulse) diabe c foot exam. Cpt code (2028f, g0245, g0246, g9226) Any change in the foot.

Does the patient need diabetic shoes/ inserts? (check all that apply.) ii. Has the patient had prior foot care education? Cpt code (2028f, g0245, g0246, g9226) Comprehensive (visual, sensory, pulse) diabe c foot exam. Adapted from the national diabetes education program’s foot screening form. Any change in the foot.

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Diabetic Foot Exam Form

Cpt Code (2028F, G0245, G0246, G9226)

Has the patient had prior foot care education? Adapted from the national diabetes education program’s foot screening form. Comprehensive (visual, sensory, pulse) diabe c foot exam. (check all that apply.) ii.

Does The Patient Need Diabetic Shoes/ Inserts?

Any change in the foot.

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