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. Plaquenil cumulative dose What medicinescannot be taken with plaquenil Plaquenil sulfate 200 mg The International classification of diseases ICD coding system is the standard method to document diagnoses for charting and billing purposes in the United States. The ninth vision of the system ICD-9 was in use until the transition to ICD-10 in October 1, 2015. When billing for Spectral Domain-Optical Coherence Tomography SD-OCT chloroquine CQ and/or hydroxychloroquine HCQ for retinal toxicity monitoring, place “SD-OCT in box #19 to reflect that this form of Optical Coherence Tomography was use. 6. When billing for services, requested by the beneficiary for denial that are Medicare exclusions Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. 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). Oct for plaquenil icd10 Ophthalmology Reader Question Coding for Plaquenil., Billing and Coding Guidelines Title Sarafen and plaquenilIs plaquenil used to treat vasculitisDrugs like plaquenilCan hydroxychloroquine affect lfts When I code the OCT 92134 I know I can't use the vcode by itself. The patient has RA, but when I look at the LCD it doesn't support the 714.0 dx for RA either. Does anyone know how to code this to get it paid? Thank you. confused Coding OCT with Plaquenil Medical Billing and Coding Forum.. Hydroxychloroquine Plaquenil Toxicity and Recommendations for Screening. ICD 10 for Plaquenil Medical Billing and Coding Forum - AAPC. 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. T37.8X5A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Adverse effect of systemic anti-infect/parasit, init The 2020 edition of ICD-10-CM T37.8X5A became effective on October 1, 2019. Hydroxychloroquine ICD-10-CM Drugs Index The ICD-10-CM Drugs Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. There are 0 terms under the parent term 'Hydroxychloroquine' in the ICD-10-CM Drugs Index.