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. Plaquenil and yellow diarrhea Plaquenil and bipolar Stopping plaquenil medication Nov 03, 2015 Rheumatoid arthritis RA was previously represented by the ICD-9-CM code 714.0. Now RA and its many manifestations are represented by more than 300 individual codes that are grouped under two main categories Rheumatoid arthritis with rheumatoid factor ICD-10-CM code M05. Question What is the best way to code for Plaquenil toxicity observation first, if the patient was referred by the family doctor for a baseline exam prior to the start of treatment; second, if the patient returns six months after the start of treatment to assess ocular changes; and, third, if the patient returns six months later and shows adverse ocular changes? 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. This is the American ICD-10-CM version of Z79.899 - other international versions of ICD-10 Z79.899 may differ. 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 eval icd 10 Is there a diagnosis for a baseline. - CPT®, ICD-10, HCPCS, Coding for Plaquenil Toxicity Observation - CPT®, ICD-10, HCPCS Hydroxychloroquine scarring alopecia The evaluation of more recent sensitive diagnostic modalities has shown that objective documentation of structural and functional change can aid in the assessment of early damage and can further quantify such damage. 8,9 When available, it is now recommended that routine testing include one of the following spectral domain optical coherence tomography SD-OCT, mfERG or fundus autofluorence. New Plaquenil Guidelines. ICD-10-CM Diagnosis Code Z79.899 Other long term current drug.. ICD-10 Eyecare Exam - 125 Questions. Oct 01, 2019 Z01.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Encounter for exam of eyes and vision w/o abnormal findings The 2020 edition of ICD-10-CM Z01.00 became effective on October 1, 2019. 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. Z13.9 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 Z13.9 became effective on October 1, 2019. This is the American ICD-10-CM version of Z13.9 - other international versions of ICD-10 Z13.9 may differ.