ICD-10's Z79.899 Other long term (current) drug therapy should be linked to any tests performed. You may also add it to the exam for supporting documentation. Polymyalgia rheumatica plaquenil Hydroxychloroquine sulfate pregnancy Plaquenil bradycardia Retinal damage plaquenil Marie Stamper, CMM Ward Eye Center, FL 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. ICD-10 Coding for Eyecare Exa 109 Code for other abnormal involuntary movements 110 Code for herpesviral conjunctivitis of both eyes 111 Code for ophthalmoplegia, progressive external, left eye 112 The patient injuried their eye while running; code for the activity. 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. Marie Stamper, CMMWard Eye Center, FL Answer: Plaquenil (hydroxychloroquine) is a drug used to treat malaria, lupus erythematous, ormost commonlyrheumatoid arthritis. "Question: What is the best way to code for Plaquenil toxicity observation: first, if the patient was referred by the family doctor for a baseline exam prior to the start of treatment; second, if the patient returns six months after the start of treatment to assess ocular changes; and, third, if the patient returns six months later and shows adverse ocular changes? Icd 10 plaquenil ophthalmology My Take on New Ocular Screening Guidelines for Plaquenil., ICD-10 Eyecare Exam - 125 Questions Plaquenil and eye painChloroquine hyperpigmentation pictures faceStatistics plaquenil maculopathyHow does plaquenil make you feelChloroquine malaria life cycle treatment 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. Coding exams for patients on high-risk medications.. Correct diagnosis for a Plaquenil exam - American Academy of Ophthalmology. Bilateral hydroxychloroquine retinopathy eye condition; Hydrochloroquine retinopathy; Left hydroxychloroquine retinopathy eye condition; Left retinopathy due to hydroxychloroquine; Retinopathy as late effect of radiation;. ICD-10-CM Diagnosis Code H35.112. H35.00 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 H35.00 became effective on October 1, 2019. This is the American ICD-10-CM version of H35.00 - other international versions of ICD-10 H35.00 may differ. A cumulative dose of 1000g of hydroxychloroquine or 460g of chloroquine was likely the largest risk factor, which was typically achieved after 5-7 years of a typical dosage 8, 10. However, there have been case reports of patients with hydroxychloroquine toxicity as early as 1.9 months after starting treatment 11.