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. Hydroxychloroquine weight gain 400mg plaquenil at night Plaquenil 200 mg uso Plaquenil reduces preeclampsia 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. 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. How to Use the ICD-10-CM 1. Look up the main term in the Alphabetical Index, scan subterm entries if needed. Review continued lines / additional subterms 2. Note parenthetical te rms that help with code selection but do not affect code assignment How to Use the ICD-10-CM continued 3. Pay attention to the following index instructions in 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 H35.381-383 Toxic Maculopathy Of Retina - Decision-Maker PLUS, Coding exams for patients on high-risk medications - American Academy. Use of chloroquine during pregnancySpecial eye exams for people on plaquenil Sep 13, 2019 Every October, new ICD-10-CM codes are announced to take full effect January 1 of the following year. The code changes for 2019 have been compiled by PECAA into a list of 2019 optometry coding guidelines—keep an eye out for the upcoming 2020 code changes. The Ultimate Guide to Optometry Billing and Coding.. Quick Guide if you missed Part I Tool Box. Ophthalmology Reader Question Coding for Plaquenil.. H35.389 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 H35.389 became effective on October 1, 2019. This is the American ICD-10-CM version of H35.389 - other international versions of ICD-10 H35.389 may differ. Valid for Submission. H35.389 is a billable code used to specify a medical diagnosis of toxic maculopathy, unspecified eye. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The study was a Kaiser Permanente retrospective case-control study that examined 2361 patients who had used hydroxychloroquine continuously for at least 5 years according to pharmacy records and who were evaluated with visual field testing or spectral-domain optical coherence tomography.