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. Drugs for rheumatoid arthritis starting with hydroxychloroquine Treatment of hydroxychloroquine retinopathy Hydroxychloroquine ingredients Chloroquine ireland 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. 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. 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. 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 My Take on New Ocular Screening Guidelines for Plaquenil., ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy. Plaquenil retinal toxicityLysosome fusion inhibitor chloroquine 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. The Ultimate Guide to Optometry Billing and Coding.. Hydroxychloroquine Plaquenil. Coding Eye Exam For Plaquenil. Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Patient Name Date of Birth Doctor Clinic High Risk Factors Asian ethnicity Tamoxifen use Macular disease AMD, ERM, etc. Kidney renal or Liver hepatic disease. Note for Plaquenil Doctor Patient Handout. 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. Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam?