Interagency Eye Examination Report
ICD 10 code: _____ Summarize the diagnosis. Prognosis . Permanent Recurrent Improving Progressive Stable Can be improved Unable to determine prognosis at this time. At risk for vision loss; this consumer is under the age of 3 and/or the degree of vision loss cannot be determined. ... DARS2006E (12/15) Interagency Eye Examination Report Page 1 ... ................
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