Diabetic Foot Exam Form

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

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

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

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Diabetic Foot Exam Form

(Check All That Apply.) Ii.

Does the patient need diabetic shoes/ inserts? Any change in the foot. 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.

Cpt code (2028f, g0245, g0246, g9226)

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