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. How long do plaquenil stay in your system Plaquenil and dementia Hydroxychloroquine how often eye exam 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. Something I admire about Eyefinity is the way they support eye care professionals throughout their entire professional journey. From the day you go live with Eyefinity EHR to the day you sell your practice, Eyefinity is listening, innovating, and improving. The diagnosis code should correlate with the reason for the patient's visit as described in the chief complaint. For example, if the patient's chief complaint is three-month follow-up of chronic open angle glaucoma in both eyes, the primary diagnosis code should be 365.11 COAG. 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 CPT code 92133, 92134 - SCODI Medicare Payment, Reimbursement, CPT., Eyefinity Technology for the Optical Industry What is plaquenil made ofBenlysta and plaquenilPlaquenil for alopecia areata ICD-9-CM V58.69 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V58.69 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code or codes. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. How to Improve Your Diagnosis Coding - Review of Ophthalmology. Optometric Billing & Coding. Routine Eye Exam codes Review of GEMS The General Equivalence Mapping from ICD-9 to ICD-10 Common signs and symptoms including floaters, halos, blurred vision, red eyes, eye pain, nausea, and. Z03.89 - Encounter for observation for other suspected diseases and conditions ruled out. 16. suspected diseases and conditions ruled out. • Example PCP refers a pediatric patient who has epilepsy to your office for an eye exam with suspected eye condition. 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.