Medical Ophthalmology

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These are the memorable clips for me because they helped me to pass one of the difficult promotion test of ophthalmology though some good wishers of my group were conspiring against me they tried there best to keep me away from these but I managed to get them any how (thank God) These clips were taken by our group during our classes at eye centre Semipalatinsk.

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routine eye exam or medical eye exam?
My husband went to the ophthalmology office for routine eye exam. He told the doctor the primary reason for visit is need a prescription for new pair eyeglass. When the doctor bill to the insurance, they used code for medical eye exam and refuse to submit service as routine eye exam. Because during the exam doctor find pinguecula “a type of conjunctival degeneration in the eye. It is extremely common and it is most prevalent in tropical climates and is in direct correlation with UV exposure”

My question is: can doctor bill this service as medical eye exam?
How is an eye exam classified as routine or medical? Is base on the purpose of the exam, not the findings?

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