Pattern of Retinopathy: Although the locus of toxic damage is parafoveal in many eyes, Asian patients often show an extramacular pattern of damage. Dose: We recommend a maximum daily HCQ use of 5.0 mg/kg real weight, which correlates better with risk than ideal weight. Hydroxychloroquine and phototherapy Hydroxychloroquine vs chloroquine Does plaquenil affect healing after bone surgery Chloroquine is used for 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. Here is a look at the 2011 testing guidelines for patients on Plaquenil guidelines. Diana L. Shechtman, O. D. and Paul M. Karpecki, O. D. A 45-year-old black female presented with no ocular or visual complaints. Her ocular history was unremarkable. However, her medical history was significant for a recent diagnosis of lupus. What is the best/proper way to code Plaquenil exams for patients with autoimmune disease? Use three diagnosis codes including one identifying systemic disease rheumatoid arthritis M06.09, one for high risk med Z79.899, and if toxic retinopathy is present then also use the anti-malarial drug code T37.2X5A. Risk of Toxicity: The risk of toxicity is dependent on daily dose and duration of use. There are no similar demographic data for CQ, but dose comparisons in older literature suggest using 2.3 mg/kg real weight. Diagnosis code for plaquenil screening Dermatomyositis - Diagnosis and treatment - Mayo Clinic, New Plaquenil Guidelines Chloroquine cornea Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. Recommendations on Screening for Chloroquine and.. The Ultimate Guide to Optometry Billing and Coding.. ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy.. Deploy V Codes for Victorious Plaquenil Exam Coding Published on Wed May 03, 2006 PDF Tip Use underlying condition as secondary diagnosis When you-re checking a patient's eyes for the harmful effects of Plaquenil, make sure you know whether the patient is still taking the drug--and what for--if you want the insurance carrier to honor your claim. For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement. The diagnosis codes depend on whether the patient is now taking Plaquenil. If the patient has used the drug in the past but isnt now using it, code V67.51. You may need to conduct several checks after medication has discontinued to make sure latent toxicity doesnt appear.