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. Www plaquenil Chloroquine and prescribing information Plaquenil eye light sensitivity THERAPY CODES Therapy Description Alias Therapy Code Enoxaparin Lovenox E015 Entinostat MS-275 E028 Entinostat SNDX-275 E028 Enzastaurin E013 Epirubicin Ellence E003 Epoetin Alfa Epogen E004 Epratuzumab LymphoCide E018 EPZ-5676 E029 Eribulin Halaven E024 Erismodegib LDE225 E025 Erlotinib Tarceva E011 Escitalopram E019 Estramustine Emcyt E005 Estrogen Patches E023 Arizona Subscriber Answer Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. It can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an ophthalmologist for monitoring ocular changes. 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. Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing. 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. Cpt code plaquenil therapy Calcium Pyrophosphate Deposition CPPD, Reader Question Use V Codes for Plaquenil Patients. Hydroxychloroquine sulphate tablets uspChloroquine concentration to inhibit autophagyWhat medicines are ok to take with hydroxychloroquineIntermittent preventive therapy chloroquine Many patients are prescribed plaquenil prior to developing symptoms. If patients are prescribed HCQ early in the disease process then they could be taking the drug for many years. The standard dose for a new patient prescribed plaquenil is 200 mg BID. Is this too much? 2011 Guidelines warned about cumulative dose of 1000g PowerPoint. Update on Plaquenil Testing. Correct diagnosis for a Plaquenil exam - American Academy.. Coding exams for patients on high-risk medications.. 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. It may ultimately be patient's responsibility. For commercial payers, I would preauthorize. 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. 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.