| 52080-9 | Alcohol-substance abuse rehabilitation treatment plan, Referring person name |
| 52151-8 | Pulmonary therapy treatment plan, Referring person name |
| 52193-0 | Cardiac rehabilitation treatment plan, Referring person name |
| 52220-1 | Medical social services treatment plan, Referring person name |
| 52246-6 | Occupational therapy treatment plan, Referring person name |
| 52275-5 | Physical therapy treatment plan, Referring person name |
| 52306-8 | Psychiatric rehabilitation treatment plan, Referring person name |
| 52337-3 | Respiratory therapy treatment plan, Referring person name |
| 52360-5 | Skilled nursing treatment plan, Referring person name |
| 52387-8 | Speech therapy treatment plan, Referring person name |