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. Chloroquine for giardiasis Does hydroxychloroquine make you bleed Hydroxychloroquine sle mechanism Plaquenil and mmr vaccine 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. 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. 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. 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 Humphrey Matrix 800 - Perimetry - Glaucoma - Medical., Correct diagnosis for a Plaquenil exam - American Academy of. Hydroxychloroquine sulphate weight gainHydroxychloroquine treats what infxWill plaquenil help irritable bowel syndromeG6pd plaquenilPlaquenil low dose 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. Correct diagnosis for a Plaquenil exam - American Academy.. Optometric Billing-How to Bill 92082-Visual Field - Intermediate. Reader Question Use V Codes for Plaquenil Patients.. The three most-common ICD-9 codes used for patients on high-risk medications such as plaquenil include The code for the condition e.g. 714.0, rheumatoid arthritis with Plaquenil, V58.69 long-term use of high-risk medications, and; The E-code for the medication E931.4 for Plaquenil. Visual fields may be determined by several methods including a tangent screen, Goldmann perimeter, and computerized automated perimeters. Visual field examinations will be considered medically necessary under the following conditions Disorder of the eyelids potentially affecting the visual field. A documented diagnosis of glaucoma. The patient is having new functional limitations which may be due to visual field loss e.g. reports by family of patient bumping into objects. change to e.g. 15. The patient is taking a medication with a high risk of affecting the visual system e.g. Plaquenil. 16.