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Phonophoresis Compound Order Form

Phonophoresis Compound Order Form 2026

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The document is a Phonophoresis Compound Order Form for Compound Care Plus Pharmacy, intended for physicians to order various ultrasound gels, including Hydrocortisone and Dexamethasone formulations. It requires completion of physician and patient information, product selection, and faxing to a specified number.

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Click ‘Get Form’ to open the Phonophoresis Compound Order Form in the editor.
Begin by entering the date at the top of the form. Next, fill in your name as the physician and include your facility name.
Provide your DEA number, followed by the shipping and billing addresses. Ensure all address fields are completed accurately for seamless processing.
Input your telephone number and fax number. Don’t forget to sign where indicated and specify the number of refills required.
In the patient section, enter the patient's name, date of birth, address, and telephone number. Make sure to note any allergies.
Select the desired product from the list provided, including strength and package size. Enter the quantity needed for each selected item.
Once all fields are filled out correctly, review your entries for accuracy before submitting.

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2009	4 Satisfied (48 Votes)

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What is the CPT code for phonophoresis?

However, some providers may code for iontophoresis using CPT code 97039, Unlisted modality. Phonophoresis is reported using CPT code 97035, Application of a modality to 1 or more areas; ultrasound, each 15 minutes.

How long does a phonophoresis treatment take?

Phonophoresis: efficiency, mechanisms and skin tolerance Controlled studies in humans in vivo have demonstrated absence or mild effects of the technique with the parameters currently used (frequency 13 MHz, intensity 12 W/cm2, duration 510 mins, continuous or pulse mode).

How do you apply phonophoresis?

Most clinicians apply the drug directly to clean skin, apply ultrasound conductive gel, and deliver the treatment for a period of 4 to 6 minutes, based on the size of the treatment area. The drug and gel generally are removed immediately after the ultrasound treatment.

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