She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Plaquenil and weight loss surgery Can plaquenil cause extreme fatigue 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. This is the American ICD-10-CM version of Z79.899 - other international versions of ICD-10 Z79.899 may differ. 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. New Plaquenil Guidelines - Review of Optometry. Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. How to bill for following plaquenil retina icd-10 Coding Long-term Medications, Coding exams for patients on high-risk medications. Plaquenil vaccinesHydroxychloroquine sulfate indicationsSaltwater fish chloroquine compatible with acriflavine Billing & Coding • Master the billing and coding puzzle. • Perhaps you can make more by seeing less patients • A doctor with poor billing/coding skills and sees more patients ie 30 patients may make the same $$$ as a doctor with great billing/coding skills but sees less patients ie 15 patients • “Work smarter, not harder!” Optometric Billing & Coding -. Coding Eye Exam For Plaquenil. CPT 92083, 92081 - Visual Fields Medical billing cpt.. The three most-common ICD-9 codes used for patients on high-risk medications such as plaquenil include The code for the condition e.g. 714.0, rheumatoid arthritis with Plaquenil, V58.69 long-term use of high-risk medications, and; The E-code for the medication E931.4 for Plaquenil. Since the initial screening and monitoring recommendations were published in 2002, there have been reports of retinal toxicity associated with the use of Plaquenil. Furthermore, the advent of novice sensitive diagnostic modalities has led to a revision of the recommended guidelines for patients using Plaquenil see “2011 Plaquenil Screening. Do not have a separate DX code for the eye exam that is not significantly different from the DX code you are using to bill the visual field. The following ICD-9 codes can be translated to ICD-10 and used a basic GUIDE for which DX codes can be used and will be paid when billing for. these services.