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. Plaquenil vision report Icd 10 coding for plaquenil use 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. In general, a visual field may be done only once every 6 months. Also, some payers will not pay a visual field separately from an eye exam if you. 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. 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. This includes confrontational visual field testing, static perimetry and kinetic perimetry. Q Does Medicare cover visual. 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 Visual Fields and Plaquenil Medical Billing and Coding., Optometric Billing-How to Bill 92082-Visual Field. Chloroquine resistant malaria drug 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. Local Coverage Determination for Visual Fields Testing.. Medicare Reimbursement for Visual Field Testing Zeiss.. Coding Long-term Medications. In order to find and follow glaucoma, visual fields are measured by a computer one eye at a time. One eye is covered and the patient places his or her chin in a type of bowl. Lights of various intensity and size are randomly projected around inside of the bowl. When the patient sees a light, he or she pushes a button. Billing & Coding • Master the billing and coding puzzle. • Perhaps you can make more by seeing less patients • A doctor with poor billing/coding skills and sees more patients ie 30 patients may make the same $$$ as a doctor with great billing/coding skills but sees less patients ie 15 patients • “Work smarter, not harder!” Arizona Subscriber Answer Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. It can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an ophthalmologist for monitoring ocular changes.