Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. Plaquenil retinal screening guidelines afters stopping Moa of chloroquine in malaria Optical coherence tomography OCT, multifocal electroretinogram mfERG, Humphrey visual field 10-2, and/or autofluorescence are employed by ophthalmologists for screening.2 Current guidelines recommend that patients should undergo a baseline ophthalmological examination upon starting HCQ, with annual examinations beginning 5 years after the. When I code the OCT 92134 I know I can't use the vcode by itself. The patient has RA, but when I look at the LCD it doesn't support the 714.0 dx for RA either. Does anyone know how to code this to get it paid? Thank you. confused Plaquenil is the brand name for the prescription drug hydroxychloroquine. It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as. Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Billing oct for plaquenil Coding OCT with Plaquenil Medical Billing and Coding., Coding OCT with Plaquenil Medical Billing and Coding Forum - AAPC Hydroxychloroquine rheumatoid arthritisBiotin and plaquenilPlaquenil pulmonary hypertension Problems with Plaquenil Use Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. New Plaquenil Guidelines -. Plaquenil Hydroxychloroquine - Side Effects, Dosage.. Medicare Reimbursement for Visual Field Testing Zeiss.. 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. Billing & Coding • Master the billing and coding puzzle. • Perhaps you can make more by seeing less patients • A doctor with poor billing/coding skills and sees more patients ie 30 patients may make the same $$$ as a doctor with great billing/coding skills but sees less patients ie 15 patients • “Work smarter, not harder!” 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.