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. Hydroxychloroquine sulphate tablets zy-q 200 I have lupus am allergic to plaquenil substitute Generic plaquenil side effects When coding the higher-level E/M codes or comprehensive eye exam codes, ophthalmoscopy is included as a required element. Documentation for EO should be above and beyond the exam notes pertaining to the retina. A retinal drawing is a necessary component of the documentation. If you are taking Plaquenil to treat an inflammatory condition or malaria, you should be aware of the side effects that may occur to your eyes and vision. Plaquenil hydroxychloroquine is in a class of drugs called disease-modifying anti-rheumatic drugs, which are used to decrease inflammation, pain and joint damage. Period for problems that have nothing to do with their surgical procedure USED ON E&M CODE •-25 Separately identifiable E&M service done on the same date as a procedure. Used when patient comes in for exam and you end up doing a Procedure e.g. Punctal Plugs or Trichiasis procedure Generally CC is separately identifying USED ON E&M CODE 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. What do you bill a plaquenil eye exam How Do Ophthalmologists Look for Plaquenil Damage? - American Academy., Plaquenil Side Effects on Your Eyes and Vision What are some of the side effects of plaquenil The vast majority of patients on Plaquenil get absolutely no eye problems and you should not be unduly worried or concerned. If you have a good response in your arthritis to the Plaquenil then the benefits of a Plaquenil almost certainly outweigh the small risks to your eyes. Plaquenil & Your Eyes. Coding and Billing Update Handout. Side Effects of Plaquenil Hydroxychloroquine, Warnings, Uses. You can go to a normal opticians but make sure they know you are on hydroxychloroquine and expect them to do a peripheral vision field test that involves looking into a machine and pressing a button when you can see a flashing light in various places over a circle within the machine very easy, they can then tell if there is a problem with the peripheral vision which could be caused by the. Basics in Billing and Coding the Eye Exam To receive one hour of continuing education credit, you must be an AOA Associate member and must answer seven of the 10 questions successfully. This exam is comprised of multiple-choice questions designed to quiz your level of understanding of the material Do not use Plaquenil without telling your doctor if you are breast-feeding. Our blog on Lupus and Pregnancy has much more valuable information on this topic. Back to top. We hope that this blog has been helpful in answering some of your questions about Plaquenil and other antimalarial drugs used to treat lupus.