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. Chloroquine for malaria Does plaquenil suppress immune system further in an immunosuppressed person Chloroquine tonic water Plaquenil side effects insomnia 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. 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. Question What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment? Answer Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm may be appropriate, but it really depends on your payer. 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 Correct diagnosis for a Plaquenil exam - American Academy of., My Take on New Ocular Screening Guidelines for Plaquenil. Voltaren pills vs plaquenilHydroxychloroquine interference with warfarinSide effect plaquenil nauseaChloroquine purchase online 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. Recommendations on Screening for Chloroquine and.. ICD-10 Code for Completion of Plaquenil Treatment - American.. Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis. It may prevent joint damage and reduce the risk of long-term disability. Hydroxychloroquine is in a class of medications that was first used to prevent and treat malaria. ICD-10 Diagnosis Codes H35.381–Toxic Maculopathy, right eye H35.382–Toxic Maculopathy, left eye H35.383–Toxic Maculopathy, bilateral. Title Toxic Maculopathy Of Retina. Category Other Retinal Disorders. Description Medications like plaquenil and chloroquine can induce degenerative changes in the ganglion cells and photoreceptor cells of the retina. 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.