Medicare allowable ocular testing for chloroquine therapy

Discussion in 'Chloroquine Phosphate' started by KarinaFOX, 11-Mar-2020.

  1. Sem-Z XenForo Moderator

    Medicare allowable ocular testing for chloroquine therapy


    Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. Toxic maculopathy associated with chloroquine use was first documented in the literature five decades ago.1 In the United States, Plaquenil––an analog to chloroquine––is used to treat a variety of conditions, including rheumatoid arthritis, lupus and several distinct inflammatory disorders. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating.

    How good is plaquenil for diabetes Plaquenil and methotrexate together

    Eye code 92012. Most non-Medicare payers have higher allowables for E&M codes. In this example, our commercial payer allowable is higher for the E&M code than the Eye code, so you would bill 99213. Diagnosis Can Affect Code. Have staff clearly indicate in the documentation why the patient presented for the examination; this can affect code. Macular degeneration is diagnosed by an eye test. While Medicare doesn’t cover routine vision exams, beneficiaries may be covered for certain preventive and diagnostic exams to treat eye conditions. If you think you may have macular degeneration, check with your doctor. Medicare may cover an exam to diagnose macular degeneration. Glaucoma is a leading cause of blindness, and a disease for which treatment methods clearly are available and in common use. Glaucoma also is diagnostically challenging. Almost 50% of glaucoma cases remain undetected. Elevated intraocular pressure is a clear risk factor for glaucoma.

    Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area).

    Medicare allowable ocular testing for chloroquine therapy

    To bill for diagnostic tests, understand these three modifiers, Macular Degeneration Treatment & Medicare Coverage

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  6. Ophthalmologic Considerations and Testing in Patients Receiving Long-Term Antimalarial Therapy HOWARD N. BERNSTEIN, M. D. Bethesda, Maryland From the Sub-Section of Ophthalmology, Subur- ban Hospital, Bethesda, Maryland, and the Oph- thalmology Department, Washington Hospital Center, Washington, D. C. Requests for reprints should be addressed to Dr. Howard N. Bernstein, 11404 Old Georgetown Road.

    • Ophthalmologic considerations and testing in patients..
    • CPT code 92133, 92134 - SCODI Medicare Payment..
    • CHLOROQUINE PHOSPHATE, USP.

    These annual examinations should include a thorough ocular exam, automated 10-2 visual fields, and 1 or more of the recommended objective tests. Visual field testing and objective tests are able to detect retinal changes before damage can be seen via fundus photography or dilated fundus exams. 5-7 Chloroquine and hydroxychloroquine belong to the quinolone family. They are related drugs with similar clinical indications for use and similar manifestations of retinal toxicity, although their therapeutic and toxic doses differ. CONCLUSION All patients using chloroquine and its derivatives must be followed-up and documented since the beginning of the therapy until they reach a cumulative dose above 100 grams. The higher the cumulative dose, the more we must be concerned with patient follow-up.

     
  7. leriques User

    In some cases, they may not be available in every strength or form as the brand-name drug. Plaquenil Oral Interactions with Other Medication Hydroxychloroquine Side Effects, Dosage, Uses, and More Turmeric Interactions With Medications - Do Not Mix Turmeric.
     
  8. =Sten= Guest

    Hydroxychloroquine is a quinoline medicine used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Hydroxychloroquine hydroxychloroquine price, how much to buy. Lowest Hydroxychloroquine Price Comparison & Free Coupons at. Hydroxychloroquine Uses, Dosage & Side Effects -
     
  9. 000 User

    Chloroquine Uses, Side Effects & Warnings - Chloroquine is an anti-malaria medicine that works by interfering with the growth of parasites in the red blood cells of the human body. Parasites that cause malaria typically enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. Chloroquine is used to treat and to prevent malaria.

    Chloroquine - FDA prescribing information, side effects and uses