Chief Complaint: Left eye, foreign body x

Chief Complaint: Left eye, foreign body x two days; History of Present Illness: The patient is a 29-year old man who presents to the emergency department after having a piece of metal fly into his left eye yesterday. Since that time, he continues to have the metal present. He denies any major disturbance in vision, although he states that his vision is slightly blurrier and more irritated. He does complain of some pain.; Past Medical History: Hypertension; Allergies: None; Immunizations: Unknown for tetanus; Social and Family History: Noncontributory; Physical Examination of Eyes: Reveals the left eye to have some periorbital erythema, but minimal swelling of the lids. PERRLA; no papilledema. EOMs intact. Vision intact. Inspection of the left eye shows a foreign body that resembles a piece of metal at the 6 o’clock position. At this time, Tetracaine was applied. The foreign body was successfully removed with the bevel of a 22-gauge needle. Two more drops of Tetracaine were applied, followed by Homatropine and Polysporin ophthalmic ointment.; Assessment: Foreign body of left eye, removed. The patient understood all instructions and agreed with the plan, at which time he was discharged. What is/are the correct CPT code(s) that should be reported? SCIENCE HEALTH SCIENCE NURSING Hit 243

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