Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. "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? Hydroxychloroquine plaquenil sickle cell Plaquenil maculopathy stages 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. Not every MAC that has an LCD policy allows for this diagnosis. It may ultimately be patient's responsibility. For commercial payers, I would preauthorize. How to use Plaquenil. Hydroxychloroquine is usually taken with food or milk to prevent stomach upset. The dosage and length of treatment are based on your medical condition and response to therapy. Apr 20, 2011 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. 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. Marie Stamper, CMMWard Eye Center, FL Answer: Plaquenil (hydroxychloroquine) is a drug used to treat malaria, lupus erythematous, ormost commonlyrheumatoid arthritis. Plaquenil use icd10 Recommendations on Screening for Chloroquine and., Plaquenil Oral Uses, Side Effects, Interactions, Pictures. Plaquenil works rheumatoid arthritisHydroxychloroquine actionPlaquenil and gabapentin Question Which code diagnosis and CPT should I use for a baseline Plaquenil exam? 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. New Plaquenil Guidelines. ICD-10-CM Diagnosis Code T37.8X5A Adverse effect of.. You need to code first for the condition being treated with the Plaquenil, such as Lupus or rheumatoid arthritis, and the second code is the Z code you use. If there is any toxicity found, you have to get that code from the Drugs and Chemicals section and put that third with an "A" for initial time that's noted. Tom Cheezum, O. D. CPC Sep 13, 2019 Some of the dosage forms listed on this page may not apply to the brand name Plaquenil. For the Consumer. Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. Should I use high-risk medication as my primary code? Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis.