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I am treating a patient for shoulder impingement which has improved well. He and

I have noticed his balance and LE weakness has declined. I feel his impingement

is due to excessively using his UE's with transfers due to LE weakness. I have a

new script for balance training but I want to know if I need to add a difficulty

walking or gait instability code, or can I treat the balance under the shoulder

code because they are related?

Bisesi MPT COMT

Winter Haven, FL

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I would defiinitely add 719.7 Difficulty Walking, update the Plan of Care and

have the physician sign it.

Laurie

Office Manager

Elite Sports Medicine & Physical Therapy

Kansas City, Missouri 64145

Subject: Billing question...

To: PTManager

Date: Friday, August 1, 2008, 9:48 AM

I am treating a patient for shoulder impingement which has improved well. He and

I have noticed his balance and LE weakness has declined. I feel his impingement

is due to excessively using his UE's with transfers due to LE weakness. I have a

new script for balance training but I want to know if I need to add a difficulty

walking or gait instability code, or can I treat the balance under the shoulder

code because they are related?

Bisesi MPT COMT

Winter Haven, FL

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