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. Chloroquine druv test Plaquenil to treat lupus 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. Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing. Aug 15, 2017 P atients taking Plaquenil hydroxychloroquine, Sanofi-Aventis on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. It is expected that only two SCODI exams/eye/year would be required to manage the patient who has glaucoma or is suspected of having glaucoma. Retinal Disorders Retinal disorders are the most common causes of severe and permanent vision loss. 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. Plaquenil eye exam diagnosis code Correct diagnosis for a Plaquenil exam - American Academy of., Coding Long-term Medications Chloroquine methodWhat symptoms does plaquenil treatPlaquenil corneal deposits The ninth vision of the system ICD-9 was in use until the transition to ICD-10 in October 1, 2015. Searching patient records for ICD codes is a commonly employed method for health care organizations and physician groups to evaluate clinical outcomes, trends, or overall disease burden. Coding patterns used by ophthalmologists for.. CPT code 92133, 92134 - SCODI Medicare Payment, Reimbursement, CPT.. ICD-10-CM Diagnosis Code Z79.899 Other long term.. Exam coding Coding Eye Exams Follow these suggestions for insight into headache-free coding. BY JOHN M. B. RUMPAKIS, O. D. M. B. A, Lake Oswego, Ore. In an ideal world, professors of Optometry 101 would teach coding for eye exams because it's such a basic foundation within our practices. Plaquenil is the brand name of hydroxychloroquine, a drug used to prevent or treat malaria 2. Plaquenil is also used for long-term treatment of autoimmune diseases such as rheumatoid arthritis RA and systemic lupus erythmatosis. According to the Mayo Clinic, it can take up to six months' constant use before an effect is seen in RA 1. Plaquenil can cause serious side effects when used in high doses for chronic diseases such as RA over the long term. Performing an external exam •evaluating distance vision •slit lamp examination WHEN TO USE -25 MODIFIER •Patient presents for a glaucoma F/U and FB is identified •Remove FB •Perform appropriate E&M for glaucoma •Exam and FB excision are filed with different diagnosis •File exam with modifier -25 and FB removal DOCUMENTATION.