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. Chloroquine eye drops Hydroxychloroquine will it help ringworm Plaquenil preeclempsis antiphospholipid Plaquenil bull's eye retinopathy 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. Maine Subscriber Answer To report a toxicity observation for Plaquenil or other high-risk drug, you will use different codes for the baseline visit before the patient starts the drug and the follow-up visits to monitor the effects. For the baseline visit, report an evaluation and management code and use. Drug use complicating pregnancy, childbirth, and the puerperium ICD-10-CM Diagnosis Code O99.32 Drug use complicating pregnancy, childbirth, and the puerperium 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. High risk drug use icd 10 plaquenil ICD-9-CM Diagnosis Code V58.69 Long-term current use of other., READER QUESTIONS Link First Plaquenil Exam to Underlying. Tylenol plaquenil 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. ICD-10 Code for Completion of Plaquenil Treatment - American Academy of.. ICD-10-CM Codes Z79* Long term current drug therapy. Z79.899 - ICD 10 Code for Other long term current drug.. The ICD-10-CM code Z79.899 might also be used to specify conditions or terms like inhaler technique - good, long term current use of abatacept, long term current use of adalimumab therapy, long term current use of drug therapy for attention deficit hyperactivity disorder, long term methotrexate user, long-term current use of acitretin, etc The code is exempt from present on admission POA reporting for inpatient admissions to general acute care hospitals. When use is between 4.0 and 5.0 mg/kg, the risk is very low within the first 5 to 10 years, but it increases markedly thereafter. Reproduced from Melles and Marmor, 2014 7 HCQ is cleared by the kidneys and thus renal disease increases the risk of toxicity. Question How should we code exams for patients on high-risk medications in ICD-10? 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.