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. Plaquenil in treatment of porphyria Chloroquine to treat gbm Plaquenil and diiclofenac Does plaquenil cause heart palpitations How to pick the right benefit notice and bill for medications. By Walt Whitley, O. D. Jason Miller, O. D. and Charles Brownlow, O. D. AOAExcel TM Medical Records consultants. This month, we review common questions from colleagues across the country. Following fluid resolution, both PROS volume p 0.0001 and visual acuity p = 0.0015 improved. The authors concluded that the fibrinous index of sub-retinal fluid during the acute stage of VKH can predict photoreceptor status following resolution of sub-retinal fluid; PROS volume is a useful measure of photoreceptor recovery in VKH. 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. 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. How to bill for following plaquenil retina Retinal Physician - CODING Q&A Extended Ophthalmoscopy., Optic Nerve and Retinal Imaging Methods - Medical Clinical. Is plaquenil ok with flu shot Sep 13, 2019 Only eye doctors can use the 92xxx codes and they can be used for both medical and routine exams. The 99xxx medical billing codes are utilized by all health care professionals and are specific to medical-only exams with further guidelines you must follow. The Ultimate Guide to Optometry Billing and Coding.. Coding Long-term Medications. Eye screening for patients taking hydroxychloroquine.. After the surgery, the blind area was more noticeable because my sight in that eye was so much clearer,” she says. “The surgeon sent me to a retina specialist, who recommended that I cut down my dose of Plaquenil. Finally, my rheumatologist recommended that I stop taking the drug altogether.” CODING & BILLING UPDATE SOUTHEAST EYE SPECIALISTS, PLLC. •One of the following 7th characters is to be assigned. Plaquenil change on 10/1/2016 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.