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. Mucinex and hydroxychloroquine Methotrexate hydroxychloroquine Do joints hurt more when starting plaquenil Plaquenil where to buy Apr 20, 2011 Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. Aug 15, 2017 P atients taking Plaquenil hydroxychloroquine, Sanofi-Aventis on a long-term basis may leave you scratching your head when it comes to coding the patient encounters. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. ICD-9-CM V58.69 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V58.69 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code or codes. 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. Plaquenil eye exam diagnosis code Optometric Management - Coding Eye Exams, Coding Long-term Medications Chloroquine resistant malaria haitiMetoprolol and plaquenil Plaquenil is the brand name of hydroxychloroquine, a drug used to prevent or treat malaria 2. Plaquenil is also used for long-term treatment of autoimmune diseases such as rheumatoid arthritis RA and systemic lupus erythmatosis. According to the Mayo Clinic, it can take up to six months' constant use before an effect is seen in RA 1. Plaquenil can cause serious side effects when used in high doses for chronic diseases such as RA over the long term. Long-Term Side Effects of Plaquenil for Rheumatoid Arthritis.. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. Coding Eye Exam For Plaquenil. The diagnosis code should correlate with the reason for the patient's visit as described in the chief complaint. For example, if the patient's chief complaint is three-month follow-up of chronic open angle glaucoma in both eyes, the primary diagnosis code should be 365.11 COAG. Lupus can cause eye or eyelid problems but fortunately serious ocular problems are not the rule. Lupus may be cause corneal problems and 1/3 of patients may have an associated dry eye syndrome. There is also a risk of retinal blood vessel problems which could lead to decreased vision. Oct 01, 2019 Free, official coding info for 2020 ICD-10-CM Z01.00 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.