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. Plaquenil goodrx Hydroxychloroquine lupus pregnancy Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. The drug can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an optometrist to perform visual fields 92081-92083, Visual field examination, unilateral or bilateral. What is the appropriate ICD-10 codes? 14. Ptosis CC The patient has system ic lupus and is being treated with Plaquenil. Referred for possible maculopathy. Dx Lupus No evidence of toxic maculopathy, OU Tx Continued observation 710.0 Lupus V58.69 Long term current use of medication What is the appropriate ICD-10 codes? 15. Plaquenil Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. 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. Plaquenil monitoring icd 10 Z01.00 vs. Z13.5 Medical Billing and Coding Forum - AAPC, Quick Guide if you missed Part I Tool Box Plaquenil original manufacturerSarcoidosis treatment usmle hydroxychloroquinePlaquenil 200 mg indications 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 of.. Recommendations on Screening for Chloroquine and.. ICD-10-CM Diagnosis Code Z79.899 Other long term.. Nov 05, 2018 The ninth vision of the system ICD-9 was in use until the transition to ICD-10 in October 1, 2015. Searching patient records for ICD codes is a commonly employed method for health care organizations and physician groups to evaluate clinical outcomes, trends, or overall disease burden. Oct 01, 2019 Z79.891 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM Z79.891 became effective on October 1, 2018. She was taking hydroxychloroquine 5.0 mg/kg/day with a duration of 10 years with a cumulative dose of 1460g putting her at increased risk for hydroxychloroquine retinal toxicity. Despite cessation of hydroxychloroquine, one-year follow-up revealed a mild worsening visual acuity to 20/30 OD and 20/25 OS, with new abnormalities on Amsler grid.