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 are the symptoms of withdrawal from plaquenil Can hydroxychloroquine sulfate get you high Can i take tylenol with hydroxychloroquine Benefit of plaquenil P atients taking Plaquenil hydroxychloroquine, Sanofi-Aventis on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate inform H35.389 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 H35.389 became effective on October 1, 2019. This is the American ICD-10-CM version of H35.389 - other international versions of ICD-10 H35.389 may differ. 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? 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). Oct for plaquenil icd10 Hydroxychloroquine ICD-10-CM Drugs Index, ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy, unspecified eye Is hydroxychloroquine hepatoticSickle cell disease plaquenilPlaquenil coupons discounts Determine the cumulative dose of plaquenil taken by the patient 3. Determine if the patient has reached the threshold for increased risk of plaquenil-induced toxic maculopathy 4. Determine if the patient has plaquenil-induced toxic maculopathy. Evaluation with spectral domain OCT testing; Evaluation with a 10-2 threshold visual field examination H35.381-383 Toxic Maculopathy Of Retina - Decision-Maker PLUS. Ophthalmology Reader Question Coding for Plaquenil Toxicity.. ICD-10-CM Diagnosis Code T37.8X5A Adverse effect of other.. The study was a Kaiser Permanente retrospective case-control study that examined 2361 patients who had used hydroxychloroquine continuously for at least 5 years according to pharmacy records and who were evaluated with visual field testing or spectral-domain optical coherence tomography. Question How should we code exams for patients on high-risk medications in ICD-10? Answer When the doctor finds no pathology, code the systemic disease, such as L93.0 Lupus or M06.09 Rheumatoid arthritis. ICD-10's Z79.899 Other long term current drug therapy should be linked to any tests performed. Oct 01, 2019 T37.8X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Adverse effect of systemic anti-infect/parasit, init The 2020 edition of ICD-10-CM T37.8X5A became effective on October 1, 2019.