Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. Atients taking Plaquenil (hydroxychloroquine, Sanofi-Aventis) on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Chloroquine posologie Drug of choice for chloroquine resistant malaria in pregnancy Plaquenil side effects long term Simponi; Long term current use of humira; Long term current use of hydroxychloroquine plaquenil. current use of pharmaceutical gold; Long term current use of plaquenil; Long term current use.; Immunodeficiency due to long term therapeutic use of drug; Long term antidepressant medication therapy. 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. In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus photography was considered as an optional test. While this clinical example focuses on Plaquenil, the concept works for any long-term medication. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. Icd10 plaquenil therapy Plaquenil Side Effects Common, Severe, Long Term -, ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy. Does plaquenil cause breast tendernessHydroxychloroquine and infertility 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 -. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. The Web's Free 2019/2020 ICD-10-CM/PCS Medical Coding Reference. ICD10is a free reference website designed for the fast lookup of all current American ICD-10-CM diagnosis and ICD-10-PCS procedure medical billing codes. H35.381 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 H35.381 became effective on October 1, 2019. This is the American ICD-10-CM version of H35.381 - other international versions of ICD-10 H35.381 may differ. 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. Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.