How to bill for plaquenil visual field

Discussion in 'Cheap And Quality Drugs' started by 90hex, 04-Mar-2020.

  1. DiseEnvillten Moderator

    How to bill for plaquenil visual field


    Q: What is visual field testing with the Humphrey® Field Analyzer (HFA™)? A: The term “visual fields” encompasses a variety of subjective tests to determine a patient’s scope of vision, both central and peripheral. The National Coverage Determination for computer enhanced perimetry, NCD 80.9, states that “Computer enhanced perimetry involves the use of a micro-computer to measure visual sensitivity at pre-selected locations in the visual field.

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    I work in an ophthalmology office. Plaquenil is often prescribed to our pt's for arthritis, which can affect the field of vision. When I send the claim billed as 92083 HVF with the Dx Z79.899 High risk meds, if often comes back denied. Any suggestions on how to get the HVF covered with use. The three most-common ICD-9 codes used for patients on high-risk medications such as plaquenil include The code for the condition e.g. 714.0, rheumatoid arthritis with Plaquenil, V58.69 long-term use of high-risk medications, and; The E-code for the medication E931.4 for Plaquenil. In addition to the optometry CPT codes for office visits, there are also procedure codes you must familiarize yourself with, such as bilateral procedures 92250 Fundus Photos and 92083 Threshold Visual Fields. Bilateral procedures have one fee associated with them whether you perform the procedure on one or both eyes.

    Q: Does NCD 80.9 supersede information in the local policy if my MAC publishes a more detailed policy? The introduction to the NCD manual states “Where coverage of an item or service is provided for specified indications or circumstances but is not explicitly excluded for others, or where the item or service is not mentioned at all in the CMS Manual System the Medicare contractor is to make the coverage decision, in consultation with its medical staff, and with CMS when appropriate, based on the law, reg-ulations, rulings and general program instructions”. This includes confrontational visual field testing, static perimetry and kinetic perimetry. It is a covered service when used in assessing visual fields in patients with glaucoma or other neuro-pathologic defects.” Most Medicare Administrative Contractors (MACs) also publish local coverage determination (LCD) policies that supplement the NCD; check your local policies.

    How to bill for plaquenil visual field

    Protecting your eyesight when taking Plaquenil Lupus., How to pick the right benefit notice and bill for medications

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  5. Arizona Subscriber Answer Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. It can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an ophthalmologist for monitoring ocular changes.

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    Although hydroxychloroquine retinal toxicity is thought to be rare, recent studies suggest it may have a higher prevalence than previously recognized. A large study examining patients with more than 5 years of HCQ use were evaluated with 10-2 visual fields or spectral-domain optical coherence tomography SD OCT. A 45-year-old black female presented with no ocular or visual complaints. Her ocular history was unremarkable. However, her medical history was significant for a recent diagnosis of lupus. Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil hydroxychloroquine, Sanofi-Aventis therapy. The patient has a disorder of the eyelids potentially affecting the visual fields. 2. The patient has a visual field defect detected on gross visual field testing e.g. confrontational testing. 3. The patient has a documented diagnosis of glaucoma. It should be noted that the progression of, and effects of treatment on glaucoma can be monitored only through periodic visual field testing.

     
  6. Pilot-163 Moderator

    Plaquenil is the brand name for the prescription drug hydroxychloroquine. Side Effects of Plaquenil Hydroxychloroquine, Warnings, Uses Plaquenil and low blood sugar - Will you have Diabetes with Plaquenil - eHealthMe
     
  7. IrinaBrekhunets Well-Known Member

    Plaquenil, hydroxychloroquine (HCQ), is an anti-malarial medication that has been proven to be useful in the treatment of patients with rheumatoid arthritis (RA), systemic lupus erythematosus (SLE) and other inflammatory and autoimmune diseases. Early Plaquenil Toxicity Detected without Bull’s Eye. Bull's-eye maculopathy due to hydroxychloroquine toxicity Spectral-Domain Optical Coherence Tomography and Adaptive.
     
  8. sergey78 Well-Known Member

    Taking Plaquenil for Rheumatoid Arthritis The aforementioned rare side effect that affects vision hydroxychloroquine retinopathy, if caught early, may improve after discontinuation of Plaquenil. Since the side effect of vision loss is possible but rare, it is important for you to tell your doctor about any vision changes that you experience.

    Hydroxychloroquine retinopathy — implications of research.
     
  9. qupa User

    PATIENT FACT SHEET Hydroxychloroquine Plaquenil Hydroxychloroquine typically is very well tolerated. Serious side effects are rare. The most common side effects are nausea and diarrhea, which often improve with time. Less common side effects include rash, changes in skin pigment such as darkening or dark spots, hair changes, and muscle weakness. Rarely, hydroxychloroquine can lead to anemia in

    Hydroxychloroquine Side Effects Common, Severe, Long Term.