Not sure what ICD-9 code to use for this scenario. I am not finding any symptoms to pick up for the area of concern itself (iris), and no foreign body was found.
S: Pt with left eye problem per chief complaint. FB sensation x1 week. Does not recall anything flying in, but does recall something hitting his eyeball. Feels it on the iris.
O: Focused eye exam. No FB readily visible. There is conjunctival erythema on the lateral side of the left eye, but that is away from the area of concern.
A/P: Vision: Spoke to Dr. X, and he will examine more closely using instrumentation.
I'm considering V65.5 (worried well), but the FB hasn't been completely ruled out--though perhaps it has been for this provider (?). Or how about V41.1, other eye problem?
Thanks in advance for your input!
S: Pt with left eye problem per chief complaint. FB sensation x1 week. Does not recall anything flying in, but does recall something hitting his eyeball. Feels it on the iris.
O: Focused eye exam. No FB readily visible. There is conjunctival erythema on the lateral side of the left eye, but that is away from the area of concern.
A/P: Vision: Spoke to Dr. X, and he will examine more closely using instrumentation.
I'm considering V65.5 (worried well), but the FB hasn't been completely ruled out--though perhaps it has been for this provider (?). Or how about V41.1, other eye problem?
Thanks in advance for your input!