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. G6pd and hydroxychloroquine Chloroquine retinal cell Published February 15, 2019 How to Succeed in Plaquenil Screenings The spectrum of OCT findings associated with the medication can make incorporating the 2016 guidelines harder than you think. 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? 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 New Plaquenil Guidelines -, Coding OCT with Plaquenil Medical Billing and Coding. How long will plaquenil stay in your system 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. Can I Bill Fundus Photography and Retinal OCT on the Same Day?. Coding patterns used by ophthalmologists for.. Billing and Coding Guidelines Title. Apr 10, 2019 Plaquenil hydroxychloroquine belongs to a group of medicines called quinolines. Plaquenil is used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. 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. Important Coding and Billing Principles for New Graduates. by Bhumika Patel. Oct 8, 2014. 6 min read 33.1k views Comments. Coding was my nightmare when I graduated from optometry school few months ago. Here are the top lessons I learned and the most important coding tidbits I can give you to succeed. Coding was my nightmare when I graduated.