Unique Plan Description: Wound Peripheral Edema Clinic
Plan Selection Display: Wound Peripheral Edema Clinic
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2012-03-26 14:11:55
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-06 10:57:09
Available at all facilities: No

Wound Peripheral Edema Clinic
Consults/Follow-up
	Follow-up Appointment
		Follow Up Visit, PRN
		Follow Up Visit, 1 week
		Follow Up Visit, 2 weeks
		Follow Up Visit, M, W, F
		Follow Up Visit, Monday
		Follow Up Visit, Tuesday
		Follow Up Visit, Wednesday
		Follow Up Visit, Thursday
		Follow Up Visit, Friday
Charges/Supplies
Est. Pt Visit
	99211 EVM - OP visit estab patient, minimal care < 10 min
		T;N
	99212 EVM - OP VISIT ESTAB PATIENT, STRAIGHTFORWARD 10 MIN
		T;N
	99213 EVM - OP VISIT ESTAB PATIENT, LOW LEVEL 20 MIN
		T;N
	99214 EVM - OP VISIT ESTAB PATIENT, MODERATE 30 MIN
		T;N
	99215 EVM - OP VISIT ESTAB PATIENT, HIGH LEVEL 40 MIN
		T;N
New Pt Visit
	99204 EVM - OP VISIT NEW PATIENT, MODERATE LEVEL 45 MIN
		T;N
Procedures in Office
	97598 WC-Debride Open Wound - ea addl' 20 sqcm
		
	29580 Unna boot application
		
	29580 Apply Bilateral Boot
		
	29581 Apply Multi Layer Comp Wrap

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase