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 and intestinal problems Does plaquenil treat ckd Is ecuador a chloroquine resistant area Chloroquin andgranuloma annulare 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 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. 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. 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., Hydroxychloroquine Plaquenil Toxicity and Recommendations for Screening How much is hydroxychloroquine without insurance at cvs 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. Ophthalmology Reader Question Coding for Plaquenil.. Coding patterns used by ophthalmologists for.. Medicare Reimbursement for Visual Field Testing Zeiss.. Hydroxychloroquine, sold under the brand name Plaquenil Sanofi-Aventis, is an antimalarial drug that has gained widespread use in treating various autoimmune diseases, including systemic lupus erythematosus and rheumatoid arthritis. 1 By some estimates, more than 150,000 patients are on long-term therapy with this medication in America alone. 2 Retinal toxicity associated with HCQ use is. May 15, 2017 Then have the patient back the next day to obtain the macular OCT without an office visit. Be sure to complete an interpretation and report for each test once it is completed. For a deeper understanding of when to use ABNs, or you want an in-depth look at when to when-not-to use modifiers, check out EyeCode Billing and Coding. 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.