Diabetic Foot Exam Form

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

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

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Any Change In The Foot.

Cpt code (2028f, g0245, g0246, g9226) Does the patient need diabetic shoes/ inserts? Adapted from the national diabetes education program’s foot screening form. Has the patient had prior foot care education?

(Check All That Apply.) Ii.

Comprehensive (visual, sensory, pulse) diabe c foot exam.

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