Q: What is visual field testing with the Humphrey® Field Analyzer (HFA™)? A: The term “visual fields” encompasses a variety of subjective tests to determine a patient’s scope of vision, both central and peripheral. The National Coverage Determination for computer enhanced perimetry, NCD 80.9, states that “Computer enhanced perimetry involves the use of a micro-computer to measure visual sensitivity at pre-selected locations in the visual field. Hydroxychloroquine alternatives Plaquenil help with fatigue Do not have a separate DX code for the eye exam that is not significantly different from the DX code you are using to bill the visual field. The following ICD-9 codes can be translated to ICD-10 and used a basic GUIDE for which DX codes can be used and will be paid when billing for. these services. Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Testing services performed should have the high-risk. Abnormal test is the visual field test, you may be asked to repeat it to make sure of the results. You will be told if any other tests are necessary and when you should be screened again. In cases of possible retinopathy, you will be recommended to continue taking 8 9 Macular Society Eye screening for patients taking hydroxychloroquine Q: Does NCD 80.9 supersede information in the local policy if my MAC publishes a more detailed policy? The introduction to the NCD manual states “Where coverage of an item or service is provided for specified indications or circumstances but is not explicitly excluded for others, or where the item or service is not mentioned at all in the CMS Manual System the Medicare contractor is to make the coverage decision, in consultation with its medical staff, and with CMS when appropriate, based on the law, reg-ulations, rulings and general program instructions”. This includes confrontational visual field testing, static perimetry and kinetic perimetry. It is a covered service when used in assessing visual fields in patients with glaucoma or other neuro-pathologic defects.” Most Medicare Administrative Contractors (MACs) also publish local coverage determination (LCD) policies that supplement the NCD; check your local policies. How to bill for plaquenil visual field Protecting your eyesight when taking Plaquenil Lupus., Correct diagnosis for a Plaquenil exam - American Academy. Does hydroxychloroquine cause leukopenia 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. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Eye screening for patients taking hydroxychloroquine.. Ophthalmic Professional - Coding. The patient has a disorder of the eyelids potentially affecting the visual fields. 2. The patient has a visual field defect detected on gross visual field testing e.g. confrontational testing. 3. The patient has a documented diagnosis of glaucoma. It should be noted that the progression of, and effects of treatment on glaucoma can be monitored only through periodic visual field testing. The study was a Kaiser Permanente retrospective case-control study that examined 2361 patients who had used hydroxychloroquine continuously for at least 5 years according to pharmacy records and who were evaluated with visual field testing or spectral-domain optical coherence tomography. Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.