Procedure code for plaquenil eye exam

Discussion in 'Hydroxychloroquine 200 Mg Tab' started by ohmuh, 17-Mar-2020.

  1. Neko XenForo Moderator

    Procedure code for plaquenil eye exam


    She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation.

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    Question Which code diagnosis and CPT should I use for a baseline Plaquenil exam? Ohio Subscriber Answer Plaquenil is the trade name for hydroxychloroquine, a medication used to treat rheumatoid arthritis and lupus. It can have adverse effects on the lens and/or retina and, therefore, the primary care physician or rheumatologist treating the condition refers the patient to an ophthalmologist for monitoring ocular changes. Plaquenil hydroxychloroquine is in a class of drugs called disease-modifying anti-rheumatic drugs, which are used to decrease inflammation, pain and joint damage. While today it is used to treat autoimmune conditions, such as rheumatoid arthritis and lupus, it was originally used as an anti-malaria drug. Non-contributory. The clinical diagnosis is a determination based on the knowledge obtained from the patient’s medical history and from the results of the eye examination alone, without the benefit of diagnostic tests or procedures. The patient’s clinical diagnosis is “high-risk” for developing plaquenil-induced.

    Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use.

    Procedure code for plaquenil eye exam

    Eye screening for patients taking hydroxychloroquine., Plaquenil Side Effects on Your Eyes and Vision

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  4. When acuity 99173 or instrument-based ocular screening 99174 is measured as part of a general ophthalmologic service or an E/M service of the eye eg, for an eye-related problem or symptom, it is considered part of the diagnostic examination of the office or other outpatient service code 99201–99215 and is not reported separately.

    • CPT code 99173, 99174, 99183, 99199 Medical billing cpt..
    • Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS.
    • New Plaquenil Guidelines.

    As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. Plaquenil therapy and eye exams. De__0__0. I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test. Many patients are prescribed plaquenil prior to developing symptoms. If patients are prescribed HCQ early in the disease process then they could be taking the drug for many years. The standard dose for a new patient prescribed plaquenil is 200 mg BID. Is this too much? 2011 Guidelines warned about cumulative dose of 1000g

     
  5. CRIttER XenForo Moderator

    Answer: When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy. Recommendations on Screening for Chloroquine and. ICD-9-CM Diagnosis Code V58.69 Long-term current use.
     
  6. HIM Guest

    Side Effects of Plaquenil Hydroxychloroquine, Warnings, Uses Plaquenil is also used to treat symptoms of rheumatoid arthritis and discoid or systemic lupus erythematosus. Plaquenil is available in generic form. What Are Side Effects of Plaquenil? Common side effects of Plaquenil include. nausea, vomiting, stomach pain or cramps, loss of appetite, weight loss, diarrhea, dizziness, spinning sensation.

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