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DPMPD160105 Comprehensive Diabetic Foot Exam & Shoe Order Form Required to satisfy Medicare requirement of unperson visit to determine need for shoes. Complete form for ordering shoes and inserts

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What is comprehensive diabetic foot exam?

A comprehensive diabetic foot exam involves a thorough assessment of the feet, including examination of circulation, sensation, and skin integrity.

Who is required to file comprehensive diabetic foot exam?

Healthcare providers such as doctors, podiatrists, and nurse practitioners are required to perform and document comprehensive diabetic foot exams for patients with diabetes.

How to fill out comprehensive diabetic foot exam?

To fill out a comprehensive diabetic foot exam, healthcare providers need to conduct a physical examination of the feet, assess circulation and sensation, and document their findings in the patient's medical record.

What is the purpose of comprehensive diabetic foot exam?

The purpose of a comprehensive diabetic foot exam is to assess the risk of foot complications in patients with diabetes, such as ulcers and infections.

What information must be reported on comprehensive diabetic foot exam?

Information that must be reported on a comprehensive diabetic foot exam includes circulation status, sensation testing results, and any abnormalities in skin integrity.

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