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. Hydroxychloroquine ibuprofen interaction Chloroquine phosphate tablets ip Apr 20, 2011 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. The risk of plaquenil-induced toxic maculopathy is associated with a cumulative dose level of 1,000 grams and it usually takes 5-7 years for patients on the standard dose of 250-400 milligrams per day to reach that level. 2 Based on a dose of 200 milligrams per day for the past twenty years. 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. 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. Plaquenil monitoring icd 10 Hydroxychloroquine-Induced Retinal Toxicity - American., Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS Ana positive brain fog ro plaquenil 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. Reader Question Plaquenil Exam. ICD-10-CM Diagnosis Code Z79.899 Other long term.. Coding Long-term Medications. The ICD-10-CM code Z79.899 might also be used to specify conditions or terms like inhaler technique - good, long term current use of abatacept, long term current use of adalimumab therapy, long term current use of drug therapy for attention deficit hyperactivity disorder, long term methotrexate user, long-term current use of acitretin, etc The. ICD-9-CM V58.69 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V58.69 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code or codes. 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.