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 and nerve damage Side effects of chloroquine on eye Abatacept sulfasalazine hydroxychloroquine triple therapy A CPT 92283 Color vision examination, extended, e.g. anomaloscope or equivalent describes color vision testing that is more extensive and rigorous than is typically done during an eye exam. CPT directs, “Color vision testing with pseudoisochromatic plates such as HRR or Ishihara. If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. 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. 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-CM Diagnosis Code Z79.899 Other long term., ICD 10 for Plaquenil Medical Billing and Coding Forum - AAPC Plaquenil for dermatomyositis muscle weaknessPlaquenil liver kidney lyme The comprehensive exam. Comprehensive eye examination codes 92004, 92014 describe a general evaluation of the complete visual system. The CPT defines it as". includes history, general medical observation, external and ophthalmoscopic examinations, gross visual fields and basic sensorimotor examination. Optometric Management - Coding Eye Exams. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Billing & Coding Guide for Eye Care Professionals - Dr. Mike.. Code for a screening for long term plaquenil use 28 Code for a benign neoplasm of left conjunctiva 29 Report a blepharospasm 30 Code a glaucoma suspect, bilateral 31 Report a routine exam of the eyes for a vision plan w/o abnormal findings. 32 On the fee ticket, the provider documents "cataract." 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 As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members.