Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. "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? Aralen anime Plaquenil and mastocytosis Plaquenil eye exam protocol Arizona Subscriber Answer Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. It can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an ophthalmologist for monitoring ocular changes. Feb 19, 2020 Use of PLAQUENIL in patients with psoriasis may precipitate a severe attack of psoriasis. When used in patients with porphyria the condition may be exacerbated. The preparation should not be used in these conditions unless in the judgment of the physician the benefit to the patient outweighs the possible hazard. For the baseline exam done before the patient is taking Plaquenil, use an E/M code with the arthritis as the primary diagnosis. And if you do see adverse changes during a follow-up check for Plaquenil toxicity in most parts of the country you should still use V58.69 as the primary diagnosis, but use the changes as a secondary diagnosis, as well as the arthritis or whatever the reason is for the drug to be taken, a few Medicare carriers will want the ocular change as the primary diagnosis. A potential side effect of the drug is ocular change that can affect the patients vision; the patient should be monitored regularly to check for these changes. Marie Stamper, CMMWard Eye Center, FL Answer: Plaquenil (hydroxychloroquine) is a drug used to treat malaria, lupus erythematous, ormost commonlyrheumatoid arthritis. Plaquenil use icd10 ICD-10-CM Code Z79.899 - Other long term current drug therapy, Plaquenil Hydroxychloroquine Uses, Dosage, Side Effects. Hydroxychloroquine nursing interventionsDoes hydroxychloroquine cause diarrheaPlaquenil mechanism of action in lupusOphthalmologist for plaquenil Aug 15, 2017 The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term Current Drug Therapy. Coding Long-term Medications. Ophthalmology Reader Question Coding for Plaquenil.. Recommendations on Screening for Chloroquine and.. Mar 17, 2019 Hydroxychloroquine is a quinoline medicine used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. Apr 20, 2011 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. Question Which code diagnosis and CPT should I use for a baseline Plaquenil exam? Ohio Subscriber Answer Plaquenil is the trade name for hydroxychloroquine, a medication used to treat rheumatoid arthritis and lupus. It can have adverse effects on the lens and/or retina and, therefore, the primary care physician or rheumatologist treating the condition refers the patient to an ophthalmologist for monitoring ocular changes.