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. Plaquenil and cellcept Acr abstracts plaquenil Question What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment? Answer Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm may be appropriate, but it really depends on your payer. 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. Apr 20, 2011 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. 2,3. The associated classic retinal toxicity is described as a bull’s eye maculopathy ring of depigmented retinal pigment epithelium that spares the foveal area. 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 eye icd 10 Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS, ICD-10-CM Diagnosis Code Z01.00 Encounter for. Signs of plaquenil overdoseChloroquine and ciprofloxacinPlaquenil sunburnt Oct 01, 2019 Toxic maculopathy, unspecified eye 2016 2017 2018 2019 2020 Billable/Specific Code H35.389 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 H35.389 became effective on October 1, 2019. ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy.. New Plaquenil Guidelines. H35.38 - ICD 10 Code for Toxic maculopathy - Non-billable. Every October, new ICD-10-CM codes are announced to take full effect January 1 of the following year. The code changes for 2019 have been compiled by PECAA into a list of 2019 optometry coding guidelines —keep an eye out for the upcoming 2020 code changes. H35.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H35.00 became effective on October 1, 2018. This is the American ICD-10-CM version of H35.00 - other international versions of ICD-10 H35.00 may differ. 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.