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? What are the side effects of taking hydroxychloroquine Hydroxychloroquine lupus dose Plaquenil rash skin Mar 17, 2019 Hydroxychloroquine is a quinoline medicine 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. 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. For the baseline exam done before the patient is taking Plaquenil, use an E/M code with the arthritis as the primary diagnosis. And if you do see adverse changes during a follow-up check for Plaquenil toxicity in most parts of the country you should still use V58.69 as the primary diagnosis, but use the changes as a secondary diagnosis, as well as the arthritis or whatever the reason is for the drug to be taken, a few Medicare carriers will want the ocular change as the primary diagnosis. 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 Reader Question Plaquenil Exam, Search Page 9/20 plaquenil use - ICD-10 Chloroquine resistance definitionPlaquenil side effects weight gainHydroxychloroquine myopathy pathology Abstract. 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.. Ophthalmology Reader Question Coding for Plaquenil.. Plaquenil Hydroxychloroquine Uses, Dosage, Side Effects.. Long term current use of hydroxychloroquine Plaquenil Long term current use of infliximab Remicade Long term current use of medication for ADD and or ADHD; Long term current use of medication for attention deficit disorder ADD or attention deficit hyperactivity disorder ADHD Long term current use of methotrexate; Long term current use of mycophenolate; Long term current use of plaquenil 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. 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.