Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Plaquenil and laser eye surgery Taking baseline eye examination before starting plaquenil Chloroquine resistant falciparum malaria Diabetes mellitus due to underlying condition with proliferative diabetic retinopathy without macular edema. 2016 2017. ICD-10-CM Diagnosis Code E13.359. 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. You may also add it to the exam for supporting documentation. Apr 20, 2011 Problems with Plaquenil Use 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. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Plaquenil maculopathy icd 10 Coding for Plaquenil Toxicity Observation - CPT®, ICD-10, HCPCS, Coding exams for patients on high-risk medications - American. Hydroxychloroquine coatChloroquine protein degradation 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. ICD-10 Code for Completion of Plaquenil Treatment.. New Plaquenil Guidelines. Hydroxychloroquine Plaquenil Toxicity and Recommendations.. 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. The ICD-10-CM code H35.89 might also be used to specify conditions or terms like abnormal rod or cone threshold, absent foveal reflex, acute retinal necrosis, aminoquinoline antimalarial adverse reaction, angiomatosis of retina, atrophic retina, etc Unspecified background retinopathy. H35.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H35.00 became effective on October 1, 2018.