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. What is aralen used for Hydroxychloroquine and glaucoma Plaquinil hydroxychloroquine Does plaquenil help psoriatic arthritis The study findings revealed that when hydroxychloroquine was used at doses 5mg /kg, the risk of retinopathy was 1% in the first 5 yrs. 2% in 10 yrs. 20 % after 20 yrs. There was a dose response, such that those receiving doses greater that 5 mg / kg had the greatest risk of retinal toxicity. Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Patient Name Date of Birth Doctor Clinic High Risk Factors Asian ethnicity Tamoxifen use Macular disease AMD, ERM, etc. Kidney renal or Liver hepatic disease. Note for Plaquenil Doctor Patient Handout. ICD-10-CM codes are to be used and reported at their highest number of characters available. A 3-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7 th character, if applicable. 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). Plaquenil eye icd 10 Coding Eye Exam For Plaquenil, Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889 Is plaquenil toxicity reversibleChloroquine phosphate 500 mgPlaquenil eye toxicityChloroquine and zambia Oct 01, 2019 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt Z79.899 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM Z79.899 became effective on October 1, 2019. ICD-10-CM Diagnosis Code Z79.899 Other long term.. H35.38 - ICD 10 Code for Toxic maculopathy - Non-billable. Hydroxychloroquine Plaquenil Toxicity and.. 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. Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam? If this is your first visit, be sure to check out the FAQ & read the forum view all forums, post or create a new thread, you must be an AAPC you are a member and have already registered for member area and forum access, you can log in by clicking you've forgotten your username or password use our password reminder start viewing messages, select the forum that.