icd 10 code for well child exam with abnormal findings

TRICARE Prime (including TRICARE Young Adult Prime) Applicable cost-shares and deductibles apply if seeing a non-network provider.No authorization or referral required to see a network or non-network ophthalmologist or optometrist.TRICARE Select (including TRICARE Reserve Select and TRICARE Young Adult Select) TRICARE Prime Remote without an assigned PCM No copayment if seeing a network provider (or non-network provider, if authorized).(Authorization is required if seeing a non-network provider or Point of Service charges will apply.) No authorization or referral required if services are performed by a network optometrist or ophthalmologist.

Starting at age six, one routine eye exam annually (once every 12 months).(For example, if a child is three years old and has an eye exam on July 15, 2019, the next covered exam would be on or after July 15, 2021, and before his or her sixth birthday.) One routine eye exam every two years (24 months) for beneficiaries ages three through five.TRICARE Prime/TRICARE Prime Remote with an assigned primary care manager (PCM) (including TRICARE Young Adult Prime) Routine diagnoses may include: exam of eyes and vision (with or without abnormal finding), myopia, degenerative myopia, hypermetropia, astigmatism (regular, irregular or unspecified), anisomentropia, aniseikonia, presbyopia, paresis or spasm of accommodation, unspecified order of refraction or visual discomfort. Failure to include the routine diagnosis or using an evaluation and management (E&M) procedure code may cause the claim to process as a diagnostic eye exam. For diabetic beneficiaries, the primary diagnosis on the claim should also be routine vision screening, with diabetes listed as a secondary diagnosis.For all beneficiaries, the primary diagnosis on the claim should be routine vision screening.A routine eye exam may include but is not limited to: refractive services, ocular alignment and red reflux, dilation and external examination for ocular abnormalities. Routine eye exams are a limited benefit under TRICARE and coverage differs by beneficiary category.

Icd 10 code for well child exam with abnormal findings