It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes, which transmit the parasites that cause the infection, usually in tropical and subtropical parts of the world. Is hydroxychloroquine a painkiller Hydroxychloroquine chest x ray Avoid alcoholic beverages because they may increase your risk of liver problems while you are taking this drug. Caution is advised when using this drug in children because they may be more sensitive to the side effects of the drug. This medication is not recommended for long-term use in children. 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 documenting the encounter. A 57-year-old female presented to the Ophthalmology clinic at UIHC complaining bilateral central photopsias for the past two years. 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. For example, it may be combined with an antibiotic to treat chronic Q-fever, which humans usually catch from farm animals or raw milk. Plaquenil is used to treat other types of infections too. How to code long term use plaquenil Plaquenil Hydroxychloroquine - Side Effects, Dosage., Coding Long-term Medications Patient teaching when taking hydroxychloroquineWill plaquenil help lupus when you have sjogrensChloroquine egfrCan plaquenil cause extreme fatigue You should not use Plaquenil if you are allergic to hydroxychloroquine. Plaquenil should not be used for long-term treatment in children. To make sure Plaquenil is safe for you, tell your doctor if you have a history of vision changes or damage to your retina caused by an anti-malaria medication; Plaquenil Uses, Dosage & Side Effects -. Hydroxychloroquine Plaquenil Toxicity and.. Long-term drug use question Medical Billing and Coding.. You can code for the condition being monitored Lupus, RA, etc and the Z79.899 code for long term use. You could also add a screening code if the payer requires it. You should never use a T code for screening for an adverse effect. T codes would only be used once there is a diagnosed issue caused by the med. Linda Prentice, OCS, COC-A, CPC-A PLAQUENIL® HYDROXYCHLOROQUINE SULFATE TABLETS, USP DESCRIPTION PLAQUENIL h. ydroxychloroquine sulfate. life-threatening and fatal cardiomyopathy have been reported with use of PLAQUENIL as well as with use of chloroquine. muscle strength and deep tendon reflexes periodically in patients on long-term therapy with. Reference ID. For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement.