She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Plaquenil 200mg qd Chloroquine african Can t afford plaquenil What is safe dosage of plaquenil for lupus Many patients are prescribed plaquenil prior to developing symptoms. If patients are prescribed HCQ early in the disease process then they could be taking the drug for many years. The standard dose for a new patient prescribed plaquenil is 200 mg BID. Is this too much? 2011 Guidelines warned about cumulative dose of 1000g A 26-year-old black female presented in office for her annual comprehensive eye exam. Her medical history was significant for Plaquenil therapy spanning 12 years with a daily dose of 200mg twice daily. She presented with a best-corrected visual acuity of 20/20 OD and 20/20 OS. All preliminary testing revealed normal findings. When acuity 99173 or instrument-based ocular screening 99174 is measured as part of a general ophthalmologic service or an E/M service of the eye eg, for an eye-related problem or symptom, it is considered part of the diagnostic examination of the office or other outpatient service code 99201–99215 and is not reported separately. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Procedure code for plaquenil eye exam ICD-10 Eyecare Exam - 125 Questions - Coding and Billing., How to Succeed in Plaquenil Screenings Heterocyclic ring present in chloroquineChloroquine solubility Macular Society Eye screening for patients taking hydroxychloroquine. Hydroxychloroquine is a medication used to treat several conditions including rheumatoid arthritis, systemic lupus erythematosus, some skin conditions especially photosensitive ones and others that involve inflammation. Eye screening for patients taking hydroxychloroquine.. CPT code 99173, 99174, 99183, 99199 Medical billing cpt.. Plaquenil therapy and eye exams. - Eye Care - MedHelp. The 92xxx codes have fewer guidelines to follow and can be broken down into two levels comprehensive CPT code 92004 and CPT code 92014, and intermediate CPT code 92002 and CPT code 92012. CPT code 92004 description Medical examination and evaluation with initiation of diagnostic treatment program; comprehensive, new patient, one or more visits. Z79.899 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z79.899 became effective on October 1, 2019. This is the American ICD-10-CM version of Z79.899 - other international versions of ICD-10 Z79.899 may differ. that may be applicable to Z79.899 Z01.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Encounter for exam of eyes and vision w/o abnormal findings The 2020 edition of ICD-10-CM Z01.00 became effective on October 1, 2019.