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 maculopathy mechanisms Plaquenil uses Plaquenil maculopathy Chloroquine msds The Academy helped you transition to ICD-10 successfully. We’ll lead you to equal success in adopting these updated diagnosis codes. What You Need to Know Medicare For all claims with dates of service on or after Oct. 1, 2018, you must use the updated ICD-10 codes. If you do not, CMS might reject all claims. ICD-10-CM Diagnosis Code Z13.9 Encounter for screening, unspecified 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt Z13.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Oct 01, 2019 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt 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. 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 Hydroxychloroquine Plaquenil Toxicity and Recommendations., ICD-10-CM Diagnosis Code Z13.9 Encounter for screening. Plaquenil toxicity visual fieldSide effects plaquenil 200 mgPlaquenil alcoholHydroxychloroquine enhance or inhibit immune 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. Reader Question Plaquenil Exam. ICD-10-CM Diagnosis Code Z79.899 Other long term.. ICD-10-CM Diagnosis Code M32.9 Systemic lupus.. 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. 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? M32.9 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 M32.9 became effective on October 1, 2019. This is the American ICD-10-CM version of M32.9 - other international versions of ICD-10 M32.9 may differ.