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Dr. Rafael Rafols, MD

Dr. Rafael Rafols, MD

Edinburg, TX

Accepting patients

Affiliated with a Castle Connolly Top Hospital

    Who is Dr. Rafols, Family Medicine Specialist in Edinburg, TX?

    Dr. Rafael Rafols, MD is a Family Medicine Specialist, who primarily practices in Edinburg, TX with 2 additional practice locations. He is board certified by the American Board of Family Medicine. Dr. Rafols graduated from University of Monterrey. Dr. Rafols is fluent in English, Italian, Spanish, and Tagalog, and is currently seeing new patients. Dr. Rafols’s practice accepts Medicaid, Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Rafols’s office at (956) 362-5525.

    Where did Dr. Rafols go to medical school and complete their residency?

    • Medical School: University of Monterrey

    Is Dr. Rafols board certified in Family Medicine Specialist?

    Yes, Dr. Rafael Rafols, MD is board certified by the American Board of Family Medicine

    What languages does Dr. Rafols speak?

    Dr. Rafols and their clinical team can communicate with patients in the following languages:

    • English

    • Italian

    • Spanish

    • Tagalog

    What conditions does Dr. Rafols treat?

    As a Family Medicine Specialist, Dr. Rafols diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Rafols. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Type 2 Diabetes with Diabetic Foot Ulcer
    • Type 2 Diabetes with Skin Ulcers
    • Diabetes Type 2
    • Diabetic Foot
    • Type 2 diabetes
    • Diabetes Complicationss
    • Diabetic Foot Wound
    • Foot Sore from Diabetes
    • Diabetic Ulcer
    • Diabetic skin sores
    • Diabetes-related wounds
    • Foot ulcers from diabetes

    ICD-10 Codes:

    • E11621: Type 2 diabetes mellitus with foot ulcer
    • E11622: Type 2 diabetes mellitus with other skin ulcer

    Also known as:

    • Pressure Sores
    • Pressure Sore
    • Bedsores
    • Decubitus Ulcers
    • Pressure Ulcers
    • Bed Sore
    • Decubitus Ulcer
    • Pressure Ulcer
    • Bedsore

    ICD-10 Codes:

    • L89150: Pressure ulcer of sacral region, unstageable
    • L89154: Pressure ulcer of sacral region, stage 4
    • L89152: Pressure ulcer of sacral region, stage 2
    • L89153: Pressure ulcer of sacral region, stage 3
    • L89620: Pressure ulcer of left heel, unstageable
    • L89610: Pressure ulcer of right heel, unstageable

    Also known as:

    • Chronic Bone Infection with Draining Sore in Right Ankle and Foot
    • Bone Infection
    • Chronic Multifocal Bone Infection in Left Ankle and Foot
    • Osteomyelitis
    • Infected bone
    • Bone inflammation
    • Bone infection with draining wound
    • Widespread bone infection
    • Chronic bone infection
    • Ankle or foot bone infection

    ICD-10 Codes:

    • M86471: Chronic osteomyelitis with draining sinus, right ankle and foot
    • M86671: Other chronic osteomyelitis, right ankle and foot
    • M86372: Chronic multifocal osteomyelitis, left ankle and foot
    • M86371: Chronic multifocal osteomyelitis, right ankle and foot

    Also known as:

    • External Surgical Wound Opening
    • Wounds and Injuries
    • External wound dehiscence
    • Surgical incision separation
    • Outer wound rupture

    ICD-10 Codes:

    • T8131XA: Disruption of external operation (surgical) wound, not elsewhere classified, initial encounter
    • T8131XD: Disruption of external operation (surgical) wound, not elsewhere classified, subsequent encounter

    Also known as:

    • Chronic Venous Hypertension with Ulcers
    • Vascular Disease
    • Venous Hypertension Ulcers
    • High Venous Pressure with Sores

    ICD-10 Codes:

    • I87311: Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
    • I87312: Chronic venous hypertension (idiopathic) with ulcer of left lower extremity

    Also known as:

    • Chronic Skin Ulcer on Foot
    • Skin Condition
    • Foot Ulcer
    • Open Sore on Foot
    • Venous Ulcer
    • Diabetic Ulcer

    ICD-10 Codes:

    • L97522: Non-pressure chronic ulcer of other part of left foot with fat layer exposed

    Also known as:

    • Chronic Ulcer of the Right Foot
    • Skin Condition
    • Skin Ulcer
    • Open Sore
    • Venous Ulcer
    • Non-healing Wound

    ICD-10 Codes:

    • L97512: Non-pressure chronic ulcer of other part of right foot with fat layer exposed

    What procedures does Dr. Rafols perform?

    As a Family Medicine Specialist, Dr. Rafols performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Rafols. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Wound Debridement
    • Skin and Tissue Debridement
    • Muscle Debridement
    • Skin Substitute Graft (Small Wound)
    • Deep Wound Cleaning
    • Skin Substitute Graft Application
    • Surgical Wound Cleaning
    • Tissue Removal from Wound
    • Dead Tissue Removal
    • Wound Cleaning
    • Surgical Debridement
    • Subcutaneous Tissue Debridement
    • Muscle Cleaning Procedure
    • Fascia Debridement
    • Wound Debridement (Deep Tissue)
    • Artificial Skin Graft
    • Wound Skin Replacement
    • Bioengineered Skin Application
    • Surgical Wound Debridement
    • Tissue Removal for Wound Healing
    • Skin Replacement Procedure
    • Wound Covering Application

    CPT Codes:

    • 11042: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less
    • 11045: Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
    • 11043: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less
    • 15271: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
    • 11046: Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)
    • 15272: Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

    Also known as:

    • Skin Substitute Graft (Small Area)
    • Skin Substitute Graft (Additional Area)
    • Artificial Skin Graft
    • Wound Covering Application
    • Skin Replacement Surgery
    • Bio-engineered Skin Graft

    CPT Codes:

    • 15275: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
    • 15276: Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)

    Also known as:

    • Surgical Preparation for Skin Graft (Infants/Children)
    • Surgery
    • Wound Debridement for Graft
    • Burn Scar Release Surgery
    • Recipient Site Preparation for Skin Repair

    CPT Codes:

    • 15004: Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children

    Also known as:

    • Chemical Cauterization of Granulation Tissue
    • Proud flesh removal
    • Chemical burn for wound overgrowth
    • Granulation tissue treatment
    • Wound cautery

    CPT Codes:

    • 17250: Chemical cauterization of granulation tissue (ie, proud flesh)

    Also known as:

    • Bone Debridement (Cleaning of Bone Wound)
    • Bone Wound Cleaning
    • Surgical Bone Debridement
    • Dead Bone Removal
    • Wound Cleaning with Bone Involvement

    CPT Codes:

    • 11044: Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less

    Also known as:

    • Abscess Drainage
    • Abscess
    • Incision and Drainage (I&D)
    • Boil Lancing
    • Cyst Drainage
    • Skin Abscess Removal

    CPT Codes:

    • 10060: Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single

    Also known as:

    • Swallowing Therapy
    • Dysphagia Treatment
    • Feeding Therapy
    • Oral Function Therapy

    CPT Codes:

    • 92526: Treatment of swallowing dysfunction and/or oral function for feeding

    Also known as:

    • Individual Speech and Language Therapy
    • Speech-Language Pathology
    • Voice Therapy
    • Communication Disorder Treatment
    • Auditory Processing Therapy

    CPT Codes:

    • 92507: Treatment Of Speech, Language, Voice, Communication, And/Or Auditory Processing Disorder; Individual

    Does Dr. Rafols accept my insurance?

    Dr. Rafols accepts most major insurance plans. Important: Please call our office at (956) 362-5525 before your appointment to verify that your specific plan and network are accepted.

    What insurance plans does Dr. Rafols accept in Edinburg, TX?

    Dr. Rafols in Edinburg, TX accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.

    Top Insurances

    • All Other Third Party

    • Centene

    • Express Scripts

    • HealthComp

    • Medicare

    • Molina

    • Other Health Care Provider

    • SGS North America Inc

    • State of Tennessee

    • UnitedHealthcare

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    Where is Dr. Rafols' office located?

    Dr. Rafael Rafols' Primary Practice

    5509 Doctors Dr

    Edinburg, TX 78539

    (956) 362-5525

    Get Directions

    Dr. Rafael Rafols' Practice 2

    1713 Treasure Hills Blvd Ste 2B

    Harlingen, TX 78550

    Get Directions

    Dr. Rafael Rafols' Practice 3

    2009 E Griffin Pkwy

    Mission, TX 78572

    Get Directions

    What is Dr. Rafols's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.

    Dr. Rafols's National Provider Identifier (NPI) number is 1609028612.

    What common questions do patients ask about Dr. Rafols?

    Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Rafols

    What is Dr. Rafael Rafols's specialty?

    Dr. Rafols is a Family Medicine Specialist near Edinburg, TX. Family Medicine is a medical specialty focused on comprehensive healthcare for individuals and families. It is a broad field that integrates biological, clinical, and behavioral sciences. The scope of family medicine covers all ages, genders, organ systems, and disease conditions, offering a holistic approach to patient care. Contact Dr. Rafols to book an appointment today.

    Is this Dr. Rafael Rafols affiliated with a ranked Castle Connolly Top Hospital?

    Yes, Dr. Rafols is affiliated with DHR Health, Rio Grande Regional Hospital, Mission Regional Medical Center which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals

    Where can I learn more about Family Medicine Specialist?

    Explore Family Medicine Specialist with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.

    Is Rafael Rafols accepting new patients in Edinburg, TX?

    Yes, Dr. Rafael Rafols is accepting new patients at this time.

    Does Dr. Rafael Rafols offer online booking?

    Please contact Dr. Rafols's office at (956) 362-5525 for information about online booking, telehealth, or to schedule an appointment.

    How can I make an appointment with Rafael Rafols?

    Please contact Dr. Rafols's office at (956) 362-5525 for information regarding telehealth appointment availability or for scheduling assistance.

    Which board certifications does Dr. Rafael Rafols have?

    Dr. Rafael Rafols is certified by the American Board of Family Medicine.

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