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. Cheap aralen chloroquine Cq chloroquine Question How should we code exams for patients on high-risk medications in ICD-10? Answer When the doctor finds no pathology, code the systemic disease, such as L93.0 Lupus or M06.09 Rheumatoid arthritis. ICD-10's Z79.899 Other long term current drug therapy should be linked to any tests performed. Our office has been including a second diagnosis for the disease related to Plaquenil use. We aren't seeing denials using that method but from a coding standpoint I don't know if that is a 'more correct' coding or if we are just billing different insurances and getting different responses regardless of our using a second dx code. 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. 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). Cpt code plaquenil screening icd 10 optometry Optometric Billing & Coding -, Visual Fields and Plaquenil Medical Billing and Coding. Hydroxychloroquine 200 mg for rheumatoid arthritis dosePlaquenil and garcinia cambogia The ICD 10 codes for optometrists require practitioners to code with greater detail in order to support accuracy in the maintenance of patient records. Even if you have a professional coder to assign the ICD 10 optometry codes for patient claims, you will find it useful to educate yourself about the accurate use of the codes. Latest ICD 10 Codes For Optometrists Need To KnowMedical.. Reader Question Plaquenil Exam. Coding Top 10 ICD-10 Code for Failed Vision Screening and.. CPT® II and ICD‑10 codes for star measures This tip sheet includes commonly used CPT® II and ICD‑10 codes for the listed HEDIS ® star measures. Submitting CPT II and ICD‑10 codes can close quality gaps in care and substantially reduce medical records requests to confirm care you have 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. ICD-10 code Z13.9 for Encounter for screening, unspecified is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services.