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. Figuring hydroxychloroquine dossage Can hydroxychloroquine stop osseointegration Chloroquine synthesis mechanism 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. Plaquenil therapy and eye exams. De__0__0. I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test. Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Testing services performed should have the high-risk. 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 Optometric Billing-How to Bill 92082-Visual Field., Plaquenil therapy and eye exams. - Eye Care - MedHelp Hydroxychloroquine vs chloroquine phosphateAssay of chloroquine by non aqueous titrationChloroquine aralen pharmacology 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. New Plaquenil Guidelines. Correct diagnosis for a Plaquenil exam - American Academy.. Protecting your eyesight when taking Plaquenil Lupus.. 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. 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. 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.