Additionally, another exception occurred while executing the custom error page for the first exception. A 45-year-old black female presented with no ocular or visual complaints. However, her medical history was significant for a recent diagnosis of lupus. Plaquenil sun allergy Aralen cloroquina Hydroxychloroquin safety Chloroquine vs hydroxychloroquine autophagy Note. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'can arise in two main ways As a precaution, patients treated with Plaquenil are advised to get a baseline eye exam prior to starting the drug and then annually thereafter. This information provided by Neil I. Stahl, MD & Tongalp H. Tezel, MD was first printed in the The Moisture Seeker, SSF's patient newsletter for members. Should I use high-risk medication as my primary code? 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. 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. 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. Code for plaquenil eye exam Eye screening for patients taking hydroxychloroquine Plaquenil, The Risk of Retinal Toxicity with Plaquenil Plaquenil and burning eyesHypnozoite chloroquine resistanceHypoglycemia and plaquenil P atients taking Plaquenil hydroxychloroquine, Sanofi-Aventis on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. Coding Long-term Medications. Correct diagnosis for a Plaquenil exam - American Academy of Ophthalmology. Plaquenil Prices, Coupons & Patient Assistance Programs.. Note. Z codes represent reasons for encounters. A corresponding procedure code must accompany a Z code if a procedure is performed. Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00-Y89 are recorded as 'diagnoses' or 'problems'. Oct 01, 2019 Z79.899 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 Z79.899 became effective on October 1, 2019. This is the American ICD-10-CM version of Z79.899 - other international versions of ICD-10 Z79.899 may differ. Question Which code diagnosis and CPT should I use for a baseline Plaquenil exam?Ohio Subscriber Answer Plaquenil is the trade name for hydroxychloroquine, a medication used to treat rheumatoid arthritis and lupus.