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. Where is sandoz plaquenil produced What is plaquenil hydroxychloroquine Plaquenil low cost Plaquenil addictive Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam? Oct 01, 2019 Z01.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Encounter for exam of eyes and vision w/o abnormal findings The 2020 edition of ICD-10-CM Z01.00 became effective on October 1, 2019. 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. 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 ICD-10-CM Diagnosis Code Z79.899 Other long term current drug., ICD-10-CM Diagnosis Code Z01.00 Encounter for. Hydroxychloroquine deathsHydroxychloroquine poisoningPlaquenil pulmonary sarcoidosis Plaquenil-induced maculopathy is a form of retinal toxicity that is associated with long-term use of of the anti-inflammatory medication plaquenil. The drug-induced maculopathy is associated with the following risk factors Cumulative dose level of 1,000 grams of plaquenil. Patients with existing retinal or macular disease. Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS. ICD-10-CM - American Academy of Ophthalmology. Hydroxychloroquine Plaquenil. 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? 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. 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. You may also add it to the exam for supporting documentation.