Ophthalmology and Optometry Coding Alert

You Be the Coder:

Untangle This Vision Loss Scenario

Question: For a recent visit, the ophthalmologist’s notes read:
Procedure: Examination under anesthesia, ERG, OCT, RetCam, and cycloplegic refraction. Indications: Vision loss, right eye. Patient underwent induction of general anesthesia, just after induction intraocular pressures were measured with the Tono-Pen 18, 17 right eye, and 19, 19, left eye. An endotracheal tube was placed. Cycloplegic refraction of -14.50, +2, [...]
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