Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. While this clinical example focuses on Plaquenil, the concept works for any long-term medication. Plaquenil induced psoriasis Is chloroquine a quinoline Plaquenil and antacids 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. High Risk Factors Asian ethnicity Tamoxifen use Macular disease AMD, ERM, etc. Kidney renal or Liver hepatic disease 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. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term (Current) Drug Therapy. The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. High risk medication plaquenil icd 10 Icd 10 High Risk Medication Plaquenil hinane 2020, Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889 Is plaquenil safe to take while breastfeedingChloroquine prophylaxis pregnancyHydroxychloroquine side effectsPlaquenil does it affect the eyesight The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term Current Drug Therapy. But getting the right code is just one step in the process of correctly documenting the encounter. Coding Long-term Medications. Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. 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. 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. 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.