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. Side effects of malaria pills chloroquine Plaquenil drug assistance program AF can also be useful in screening for medication toxicity related to hydroxychloroquine Plaquenil, Sanofi, Bridgewater, NJ 1 or other pharmaceuticals. Suzanne L. Corcoran, COE, is executive vice president and founder of Corcoran Consulting Group, San Bernardino, CA, which specializes in coding and reimbursement issues for ophthalmic practices. Plaquenil hydroxychloroquine belongs to a group of medicines called quinolines. Plaquenil is used to treat or prevent malaria, a disease caused by parasites that enter the body through the bite of a mosquito. Malaria is common in areas such as Africa, South America, and Southern Asia. Optical coherence tomography OCT, multifocal electroretinogram mfERG, Humphrey visual field 10-2, and/or autofluorescence are employed by ophthalmologists for screening.2 Current guidelines recommend that patients should undergo a baseline ophthalmological examination upon starting HCQ, with annual examinations beginning 5 years after the initiation of therapy in non-high-risk individuals.3 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. Cpt code plaquenil therapy Reader Question Use V Codes for Plaquenil Patients., Plaquenil Uses, Dosage & Side Effects - Incidence of retinal toxicity from plaquenilPlaquenil for subacute cutaneous lupusTaking plaquenil while on iron supplementsPlaquenil and muscle relaxers interactionsBuy hydroxychloroquine sulphate M Doctor is billing a 20551 and I do not agree with the procedure she chose. I think she should have billed a 20610 because she injected into the left trochanteric bursa. Her note indicates Patient with rheumatoid arthiritis and currently on Plaquenil therapy. According to the patient she is up. Medical Billing and Coding Forum - AAPC. Coding patterns used by ophthalmologists for.. Plaquenil therapy and eye exams. - Eye Care - MedHelp. Our office has been including a second diagnosis for the disease related to Plaquenil use. We aren't seeing denials using that method but from a coding standpoint I don't know if that is a 'more correct' coding or if we are just billing different insurances and getting different responses regardless of our using a second dx code. ICD-10 Coding for Eyecare Exa 22 Code for allergic conjunctivitis of both eyes 23 Code simple episcleritis of the right eye 24 Report an after-cataract that is not obscuring vision, right eye 25 Report drusen of the macula, right eye 26 Report myopia of both eyes 27 Code for a screening for long term plaquenil use 28 Code for a. 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.