Patient presents for routine eye exam.  Medical history reviewed, including current medications and any history of ocular disease, such as glaucoma, cataracts, macular degeneration, or diabetic retinopathy.  Family history of eye conditions was also discussed.  Patient denies any acute visual changes, including blurred vision, double vision, flashes, floaters, eye pain, redness, or discharge.  Visual acuity assessment performed using Snellen chart, documenting both uncorrected and corrected visual acuity for distance and near vision.  Ocular motility examination revealed full range of motion with no evidence of strabismus or nystagmus.  Pupils are equal, round, and reactive to light and accommodation.  Intraocular pressure measured within normal limits.  Slit-lamp examination of the anterior segment demonstrates clear cornea, conjunctiva, and lens.  Funduscopic examination of the posterior segment shows healthy optic nerve, macula, and retina, with no signs of retinopathy, drusen, or other abnormalities.  Assessment:  Normal eye exam.  Plan:  Patient counseled on maintaining good eye health, including UV protection and regular eye exams.  Scheduled for routine follow-up eye exam in one year.  ICD-10 code Z01.00 (Encounter for examination of eyes and vision) and relevant CPT codes for the ophthalmological exam documented for billing purposes.