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. Rheumatoid arthirtis methrotrexate therapy hydroxychloroquine monotherapy Plaquenil 200 mg indications Chloroquine chemoprophylaxis This is a good start medicare aaa screening icd 10 code You can make some information on clue 2015 – Page 2 – EyeCodingForum code for plaquenil screening ICD 10 Coding for Refraction Part 2 of 3 ICD 10 for Optometry and Ophthalmology PDF New Plaquenil Guidelines free official info. 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 i.e. screening report a screening ICD-9 V80.2 code and the GY modifier - item or. 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? 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 ICD-10 Coding for Ophthalmology and Optometry Outline., Billing and Coding Guidelines Title Hydroxychloroquine rash treatmentTingling arms plaquenilHydroxychloroquine 200 mg tablet inflammation 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 CPT II and ICD‑10 codes for star measures. Coding for Plaquenil Toxicity Observation - CPT®, ICD-10, HCPCS. Coding Top 10 ICD-10 Code for Failed Vision Screening and.. Z13.5 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 Z13.5 became effective on October 1, 2019. This is the American ICD-10-CM version of Z13.5 - other international versions of ICD-10 Z13.5 may differ. Apr 20, 2011 Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. Aug 15, 2017 ICD-10 Classifications. The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term Current Drug Therapy. But getting the right code is just one step in the process of correctly.