Diabetic Foot Exam Form

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

Comprehensive (visual, sensory, pulse) diabe c foot exam. 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) (check all that apply.) ii.

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

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Adapted From The National Diabetes Education Program’s Foot Screening Form.

Comprehensive (visual, sensory, pulse) diabe c foot exam. Does the patient need diabetic shoes/ inserts? Any change in the foot. Has the patient had prior foot care education?

(Check All That Apply.) Ii.

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

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