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. Can you take plaquenil every other day What family of drugs does chloroquine belong to Se pueden tomar aspirina y plaquenil juntos Plaquenil farmacia online M32.9 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 M32.9 became effective on October 1, 2019. This is the American ICD-10-CM version of M32.9 - other international versions of ICD-10 M32.9 may differ. Oct 01, 2019 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 2020 edition of ICD-10-CM M32.9 became effective on October 1, 2019. Plaquenil-induced maculopathy is a form of retinal toxicity that is associated with long-term use of of the anti-inflammatory medication plaquenil. The drug-induced maculopathy is associated with the following risk factors Cumulative dose level of 1,000 grams of plaquenil. Patients with existing retinal or macular disease. 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). Plaquenil eval icd 10 New ICD-10 Code for RA Patients, ICD-10-CM Diagnosis Code M32.9 Systemic lupus. Plaquenil tablets covis 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. Coding Long-term Medications. Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS. ICD-10 -. If this is your first visit, be sure to check out the FAQ & read the forum view all forums, post or create a new thread, you must be an AAPC you are a member and have already registered for member area and forum access, you can log in by clicking here. 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. Risk factors for retinopathy included higher doses and longer durations of use. Other major factors are concomitant renal disease, use of tamoxifen and prior retinal or macular disease. 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.