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. Can plaquenil cause anxiety Hydroxychloroquine and aps Does plaquenil cause sun sensitivity What exactly does plaquenil do 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. If this is your first visit, be sure to check out the FAQ & read the forum view all forums, post or create a new thread, you must be an AAPC you are a member and have already registered for member area and forum access, you can log in by clicking you've forgotten your username or password use our password reminder start viewing messages, select the forum that. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code H35.389 might also be used to specify conditions or terms like toxic maculopathy. 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 ICD 10 Coding for Refraction Part 1 of 3 - YouTube, ICD 10 for Plaquenil Medical Billing and Coding Forum - AAPC Plaquenil pulmonary hypertension 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. Hydroxychloroquine Plaquenil. ICD-10-CM Code H35.389 - Toxic maculopathy, unspecified eye. ICD-10-CM Diagnosis Code T37.8X5A Adverse effect of.. Billable Code H02.402 is a valid billable ICD-10 diagnosis code for Unspecified ptosis of left eyelid. It is found in the 2020 version of the ICD-10 Clinical Modification CM and can be used in all HIPAA-covered transactions from Oct 01, 2019 - Sep 30, 2020. ↓ See below for any exclusions, inclusions or special notations 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. 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.