She suffered from Sjogren syndrome and inflammatory arthritis and was currently treated with prednisone and methotrexate. She was previously treated with hydroxychloroquine (Plaquenil) 200mg bid (6.5mg/kg) for 10 years, which was stopped one year prior to presentation. Plaquenil for oral lichen planus Ran out of plaquenil What is the appropriate ICD-10 codes? 14. Ptosis CC The patient has system ic lupus and is being treated with Plaquenil. Referred for possible maculopathy. Dx Lupus No evidence of toxic maculopathy, OU Tx Continued observation 710.0 Lupus V58.69 Long term current use of medication What is the appropriate ICD-10 codes? 15. Plaquenil 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. The study findings revealed that when hydroxychloroquine was used at doses 5mg /kg, the risk of retinopathy was 1% in the first 5 yrs. 2% in 10 yrs. 20 % after 20 yrs. There was a dose response, such that those receiving doses greater that 5 mg / kg had the greatest risk of retinal toxicity. Review of systems: Blurred vision, halos, dry eye, dry mouth, gastroesophageal reflux, joint pain Pupils: Reactive to light in each eye from 5 mm in the dark to 2 mm in the light. Extraocular movements: Full, both eyes (OU) Confrontation visual fields: Full OU Intra-ocular pressure The optic nerves appeared healthy with a 0.3 cup-to-disc ratio. Past Ocular History: None Medical History: Sjogren syndrome and inflammatory arthritis, supraventricular tachycardia, anxiety, depression, peptic ulcer disease Medications: prednisone, methotrexate, amitriptyline, ranitidine, estradiol, tizanidine, diltiazem, Restasis Allergies: codeine, droperidol Family History: heart disease, arthritis, cancer Social History: occasional alcohol but no tobacco or intravenous drug use. Plaquenil monitoring icd 10 Coding exams for patients on high-risk medications - American., Reader Question Plaquenil Exams Chloroquine walgreensAntimalarial drugs plaquenilPlaquenil alopecia areata alopecia totalisHydroxychloroquine and tanningCan plaquenil grow hair 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. The Web's Free 2019/2020 ICD-10-CM/PCS Medical Coding Reference. My Take on New Ocular Screening Guidelines for Plaquenil.. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. Oct 30, 2015 It is the same for ICD-10. Code for Lupus or RA first there are several codes for each disease depending on level of involvement and then put the code for the long term use of the medication, Z79.899. If toxicity from the Plaquenil is noted, then you also put the code down for that from the Drugs and Chemicals table. Oct 01, 2019 2020 ICD-10-CM Diagnosis Code M32.9 Systemic lupus erythematosus, unspecified 2016 2017 2018 2019 2020 Billable/Specific Code M32.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The ICD-10-CM code Z79.899 might also be used to specify conditions or terms like inhaler technique - good, long term current use of abatacept, long term current use of adalimumab therapy, long term current use of drug therapy for attention deficit hyperactivity disorder, long term methotrexate user, long-term current use of acitretin, etc The.