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. Does plaquenil cause acne Surgery while taking plaquenil Apr 20, 2011 Since the initial screening and monitoring recommendations were published in 2002, there have been reports of retinal toxicity associated with the use of Plaquenil. Furthermore, the advent of novice sensitive diagnostic modalities has led to a revision of the recommended guidelines for patients using Plaquenil see “2011 Plaquenil Screening. Nov 05, 2018 The ninth vision of the system ICD-9 was in use until the transition to ICD-10 in October 1, 2015. Searching patient records for ICD codes is a commonly employed method for health care organizations and physician groups to evaluate clinical outcomes, trends, or overall disease burden. Hydroxychloroquine Plaquenil is considered a disease-modifying anti-rheumatic drug DMARD. It can decrease the pain and swelling of arthritis. It may prevent joint damage and reduce the risk of long-term disability. Hydroxychloroquine is in a class of medications that was first used to prevent and treat malaria. 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 The Ultimate Guide to Optometry Billing and Coding., Coding patterns used by ophthalmologists for. Chloroquine pretreatment degradationIs hydroxychloroquine safeHydroxychloroquin cardiac protectiveChloroquine injection side effects 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. Hydroxychloroquine Plaquenil. Ophthalmology Reader Question Coding for Plaquenil.. Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. 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. 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.