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. Chloroquine ph Hydroxychloroquine and the flu Aralen dose 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. 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. 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. 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 Z01.00 Encounter for., ICD-10-CM Diagnosis Code Z01.00 Encounter for examination of eyes. Hydroxychloroquine discount coupon 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.. The Ultimate Guide to Optometry Billing and Coding CovalentCareers. Plaquenil therapy and eye exams. - Eye Care - MedHelp. The guide includes comprehensive service coding for diabetes care, cataract surgery co-management, dry eyes, allergies, Plaquenil use, and glaucoma including templates for patient letters to their primary care physicians you can use and modify. Example claims are shown with appropriate coding and modifiers. 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 •Cannot be used for FB eval and removal. PATIENT PRESENTS FOR FB REMOVAL. •Standard before FB removal In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus photography was considered as an optional test.