Plaquenil eye icd 10

Discussion in 'Health Canada Drug Database' started by GoldenPost, 07-Mar-2020.

  1. Curitib XenForo Moderator

    Plaquenil eye icd 10


    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.

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    Is there a diagnosis for a baseline exam before patient starts plaquenil? Zella Posted Wed 05th of September, 2012 AM Do you only code the condition such as rheumatoid arthritis or sarcoidosis when coding an exam, vf or oct prior to patient starting high risk medication. or is there a V code for premedication exam? Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Patient Name Date of Birth Doctor Clinic High Risk Factors Asian ethnicity Tamoxifen use Macular disease AMD, ERM, etc. Kidney renal or Liver hepatic disease. Note for Plaquenil Doctor Patient Handout. Question What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment? Answer Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm may be appropriate, but it really depends on your payer. Not every MAC that has an LCD policy allows for this diagnosis.

    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 eye icd 10

    ICD-10-CM Code H35.389 - Toxic maculopathy, unspecified eye, Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889

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  3. The study findings revealed that when hydroxychloroquine was used at doses 5mg /kg, the risk of retinopathy was 1% in the first 5 yrs. 2% 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.

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    ICD-10 Diagnosis Codes H35.381–Toxic Maculopathy, right eye H35.382–Toxic Maculopathy, left eye H35.383–Toxic Maculopathy, bilateral. Title Toxic Maculopathy Of Retina. Category Other Retinal Disorders. Description Medications like plaquenil and chloroquine can induce degenerative changes in the ganglion cells and photoreceptor cells of the retina. Screening codes for long-term use of a high-risk drug Plaquenil Family History and Status Codes. The offers a comprehensive, six-hour recorded, ICD-10 training for Eyecare. Aug 15, 2017 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.

     
  4. ranger_forever Well-Known Member

    Plaquenil is the brand name for the prescription drug hydroxychloroquine. Elderberry Uses, Side Effects, Interactions, Dosage, and Warning Hydroxychloroquine Plaquenil Plaquenil for fatigue and pain DailyStrength
     
  5. Spooky404 Guest

    Selected from data included with permission and copyrighted by First Databank, Inc. Estradiol and Plaquenil drug interactions - eHealthMe Does Plaquenil hydroxychloroquine impact my immune system. Common and Rare Side Effects for Hydroxychloroquine Oral
     
  6. sersnick User

    Hydroxychloroquine toxicity - EyeWiki Hydroxychloroquine Plaquenil and chloroquine cause ocular toxicity to various parts of the eye such as the cornea, ciliary body, and retina. Chloroquine can also induce cataract formation; however, no reports of hydroxychloroquine and cataract have been reported. This article focuses upon hydroxychloroquine retinopathy. Disease

    Hydroxychloroquine-related retinal toxicity Rheumatology.