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. Safe to take plaquenil with antacids Malaria medication plaquenil Ophthalmologic exam for plaquenil use Bruises on shin from plaquenil Reader Question Coding for Plaquenil Toxicity Observation; Ophthalmology Coding Alert. Reader Question Coding for Plaquenil Toxicity Observation. Published on Wed Sep 01, 1999 "Question What is the best way to code for Plaquenil toxicity observation first, if the patient was referred by the family doctor for a baseline exam prior to the. When billing for Spectral Domain-Optical Coherence Tomography SD-OCT chloroquine CQ and/or hydroxychloroquine HCQ for retinal toxicity monitoring, place “SD-OCT in box #19 to reflect that this form of Optical Coherence Tomography was use. 6. When billing for services, requested by the beneficiary for denial that are Medicare exclusions 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. 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 Can I Bill Fundus Photography and Retinal OCT on the Same Day?, Billing and Coding Guidelines Title Getting off hydroxychloroquineHydroxychloroquine dosage for malaria preventionWhich is better for ra plaquenil or methotrexateLysosomal acidification chloroquine 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 -. How to pick the right benefit notice and bill for medications. Optometric Billing & Coding -. Coding OCT with Plaquenil. Thread starter tmr1965; Start date Mar 5, 2014; T. tmr1965 Guru. Messages 210 Best answers 0. Mar 5, 2014 #1 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? 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. Nov 18, 2011 To analyze Humphrey visual field HVF findings in hydroxychloroquine HCQ retinal tests were interpreted retrospectively in this observational case series of 15 patients with HCQ toxicity. Patients seen at Lahey Clinic were identified by.