Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. Atients taking Plaquenil (hydroxychloroquine, Sanofi-Aventis) on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Treatment of chloroquine resistant malaria in pregnancy Chloroquine cancer Plaquenil mastocytosis Plaquenil lupus how long to work 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. Some of the dosage forms listed on this page may not apply to the brand name Plaquenil. For the Consumer. Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur. 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. This medicine is not effective against all strains of malaria. While this clinical example focuses on Plaquenil, the concept works for any long-term medication. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. Icd10 plaquenil therapy ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy., Plaquenil Side Effects Common, Severe, Long Term - Chloroquine phosphate tablets used forCan plaquenil cause ptosisPlaquenil sjogrens syndromeWhat painkillers can i take with hydroxychloroquine What is the best/proper way to code Plaquenil exams for patients with autoimmune disease? Use three diagnosis codes including one identifying systemic disease rheumatoid arthritis M06.09, one for high risk med Z79.899, and if toxic retinopathy is present then also use the anti-malarial drug code T37.2X5A. The Ultimate Guide to Optometry Billing and Coding CovalentCareers. Hydroxychloroquine Uses, Dosage & Side Effects -. Plaquenil Uses, Dosage & Side Effects -. 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. Z79 is a non-billable ICD-10 code for Long term current drug therapy. It should not be used for HIPAA-covered transactions as a more specific code is available to choose from below. Other long term current drug therapy. Z79.899 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.