Dawn Exa
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DOMINION THERAPY SERVICES, LLC Dawn Hamm 122 Crabapple Lane Ligonier, PA 15658 DIAGNOSIS CODES: _____________________________ PT _______ OT _______ SPEECH _______ THERAPY BILLING Monday
Tuesday
Wednesday Thursday Friday
97001 PT Eval 97002 PT Re Eval 97003 OT Eval 97004 OT ReEval 92506 Speech Eval 92525 Dysphagia Speech Re Eval 97026 Light Therapy 97010 Moist Heat/Cold Pack 97012 Mechanial Traction 97014 Estim. Unattended 97016 Jobst Compression 97018 Parrafin 97032 Estim. Manual 97033 Iontophoresis (15min) 97035 Ultrasound 97039 Phonophoresis 97014 Manual Therapy Tech. 97110 Therapeutic Exercise 97110 ROM/Flexibility 97116 Gait Training 97530 Kinetic Act/Body Mec A4595 Electrodes
Service Supplies Code Date
Description
Charges
Saturday
Tuesday
Wednesday Thursday Friday
97001 PT Eval 97002 PT Re Eval 97003 OT Eval 97004 OT ReEval 92506 Speech Eval 92525 Dysphagia Speech Re Eval 97026 Light Therapy 97010 Moist Heat/Cold Pack 97012 Mechanial Traction 97014 Estim. Unattended 97016 Jobst Compression 97018 Parrafin 97032 Estim. Manual 97033 Iontophoresis (15min) 97035 Ultrasound 97039 Phonophoresis 97014 Manual Therapy Tech. 97110 Therapeutic Exercise 97110 ROM/Flexibility 97116 Gait Training 97530 Kinetic Act/Body Mec A4595 Electrodes
Service Supplies Code Date
Description
Charges
Saturday
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