REBECCA H. WARTMAN OD HARVEY B. RICHMAN OD FAAO FCOVD NORTH CAROLINA STATE OPTOMETRIC SOCIETY 2015...

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Transcript of REBECCA H. WARTMAN OD HARVEY B. RICHMAN OD FAAO FCOVD NORTH CAROLINA STATE OPTOMETRIC SOCIETY 2015...

R E B E C C A H . WA RT M A N O DH A R V E Y B . R I C H M A N O D FA A O F C OV D

N O RT H C A R O L I N A S TAT E O P T O M E T R I C S O C I E T Y

2 0 1 5

ICD-10-CM INTERACTIVE WORKSHOP

CODE ME EASY

• 15 Year Old Boy presents • CC-Blurred Vision

• Findings• OD: -12.00-2.00x155 VA 20/25• OS: -11.50-1.75x25 VA 20/25

• All Ocular Health Findings Unremarkable

CODE ME EASY-2

• 45 Year Old Woman presents • CC-Blurred Vision• Findings• OD: +2.00-1.00x155 VA 20/20• OS: +1.50-0.75x25 VA 20/20• OU Add +1.50 20/20

• All Ocular Health Findings Unremarkable

CODE ME AGED

• 75 Year Old Woman presents • CC blurred vision• Findings• OD PL/+2.50 VA 20/30• OS PL/+2.50 VA 20/30

• OD Pseudophakia-• OS Pseudophakia-• And photo → OS ARMD

CODE ME ANNOYING

• 65 Year Old Man presents • CC: both eyes irritated• Findings• OD: • Ectropion

• OS:• Trichiasis

CODE ME PRETTY

• 39 Year Old Male Presents • CC: Right Eye irritated• Findings• OD-Herptic dendrite

CODE ME DIVERSE

• 17 Year Old Female Presents• CC: Mucous Discharge Left eye

CODE ME MODERATE

• 55 Year Old IDDM Male Presents• CC: Blurred Vision• OD 10/300 OS 20/70

Proliferative retinopathy Mild Background retinopathy

CODE ME A BOTHER

• 24 Year Old Construction Worker• CC: Pain in eye

• Grinding metal at work when noticed pain

CODE ME DRY

• 63 Year Old Woman• CC: Eyes Irritated• Med Hx: Hypothyroidism and RA using Plaquenil

I DON’T KNOW

• 11 Year Old Girl• CC: Mom complains of Eye pain for insurance

coverage• Findings ALL NEGATIVE

CODE ME HIGH

• 72 Year Old Hypertensive Male• Intraocular Pressures 24 OU• Pachymetry 550 nm• Gonioscopy Grade 4

CODE ME LOW

• 32 Year Old Female• Intraocular Pressures 14 OD • Intraocular Pressures 23 OD • Pachymetry 550 nm• Lens Pseudoexfoliation OS• Smokes Pot for Glaucoma• BP 157/98

CODE ME DOUBLE

• 18 Month Old Male• CC: Parents Concerned with Eyes Turning In• Refraction +3.75 OU• VA Reduced OS Only