Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. Toxic maculopathy is a form of retinal toxicity that is associated with antimalarial agents such as plaquenil and chloroquine. Plaquenil use icd 10 code Antimalarial drugs chloroquine Chloroquine treatment of cells 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. 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. 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. A lysosome is a membrane-bound organelle found in the cytoplasm of most cells and it contains hydrolytic enzymes that function in intracellular digestive processes. Both medications are commonly used to treat patients with systemic autoimmune diseases that include the following: The pathogenic effect of plaquenil is the induction of lysosomal dysfunction in photoreceptors and retinal pigment epithelium (RPE) cells. Plaquenil treatment 1cd 10 Icd 10 High Risk Medication Plaquenil – 2019, ICD-10-CM Diagnosis Code Z79.899 Other long term. Plaquenil cheapestChloroquine-resistance countriesSle and plaquenilPlaquenil and low libido Answer Plaquenil hydroxychloroquine is a drug used to treat malaria, lupus erythematous, ormost commonlyrheumatoid arthritis. 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. Ophthalmology Reader Question Coding for Plaquenil.. H35.381-383 Toxic Maculopathy Of Retina - Decision-Maker PLUS. ICD-10-CM Diagnosis Code Z79.891 Long term current.. Plaquenil hydroxychloroquine "I have dermatomyositis. Plaquenil along with quinicrine treated my hand lesions which were very painful. This took about a year to accomplish. It's been about a year and a half now and I'm starting to react to one or both of the medications. I have a rash all over my body and ulcers and lichen planus in my mouth. Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Testing services performed should have the high-risk. Oct 01, 2014 Hydroxychloroquine HCQ and chloroquine CQ are commonly used medications for rheumatoid arthritis RA, systemic lupus erythematosus SLE, and other connective tissue disorders. 1-5 More than 1.5 million persons have these conditions, 6 and many of them receive HCQ as the initial treatment. 7-10 Although HCQ is safer than CQ, both medications can cause irreversible retinal toxicity. Early in the course of retinal toxicity, patients are often asymptomatic but exhibit abnormalities on.