Cpt code plaquenil therapy

Discussion in 'Canadian Pharmacies' started by aspnet, 24-Feb-2020.

  1. wwweee Moderator

    Cpt code plaquenil therapy


    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.

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    Our office has been including a second diagnosis for the disease related to Plaquenil use. We aren't seeing denials using that method but from a coding standpoint I don't know if that is a 'more correct' coding or if we are just billing different insurances and getting different responses regardless of our using a second dx code. Answer Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm may be appropriate, but it really depends on your payer. Not every MAC that has an LCD policy allows for this diagnosis. It may ultimately be patient's responsibility. For commercial payers, I would preauthorize. For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement.

    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.

    Cpt code plaquenil therapy

    Coding and Billing Update Handout, ICD-10 Code for Completion of Plaquenil Treatment.

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  7. Proper diagnosis detection is important. Untreated calcium pyrophosphate deposition CPPD may lead to severe, painful attacks or chronic long-term pain and inflammation. Over time, joints may degenerate, or break down, resulting in long-term disability. Some treatment options for the arthritis pain do exist.

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    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 Plaquenil comes in 200 milligram mg tablets that are taken by mouth. To prevent malaria in adults, two tablets are typically taken once a week, on the same day each week. National Correct Coding Initiative, Medically Unlikey Edits Reimbursement Policy. National Correct Coding Initiative, Physician Code Pair Edits Reimbursement Policy. Non-Emergent Transport and Lodging. Non-Reimbursable HCPCS Codes. Non-Covered HCPCS Codes. Outpatient Family Therapy Reimbursement Policy. Outpatient Service Clean Claim Form.

     
  8. nikan Well-Known Member

    Hydroxychloroquine is widely used in the treatment of post-Lyme arthritis. New insights on the antiviral effects of chloroquine against. Chloroquine Indications, Side Effects, Warnings - Hydroxychloroquine in systemic lupus erythematosus SLE
     
  9. Dimaas Well-Known Member

    Plaquenil and stomach issues." Lupus Community. I've kinda noticed the same thing but I have a lactose intolerance. It wasn't as severe as it was when I was a child until I started Plaquenil. When I started Plaquenil almost 2 months ago I assumed the GI issues were a side effect and it would eventually go away but it hasn't. I'm going to bring it up to my rheumy when I see him.

    Will you have Mouth ulcers with Plaquenil - eHealthMe