It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes, which transmit the parasites that cause the infection, usually in tropical and subtropical parts of the world. Hydroxychloroquine sulfate eye side effects Chloroquine resistant malaria The three most-common ICD-9 codes used for patients on high-risk medications such as plaquenil include The code for the condition e.g. 714.0, rheumatoid arthritis with Plaquenil, V58.69 long-term use of high-risk medications, and The E-code for the medication E931.4 for Plaquenil. Aug 30, 2011 Chloroquine CQ and hydroxychloroquine Plaquenil HCQ have been used for many years, initially for the treatment of malaria but now more commonly for the treatment of inflammatory diseases such as rheumatoid arthritis and lupus 1. It is now considered for new disease applications in diabetes, heart disease and adjunct cancer therapies 2. 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. For example, it may be combined with an antibiotic to treat chronic Q-fever, which humans usually catch from farm animals or raw milk. Plaquenil is used to treat other types of infections too. Plaquenil diagnosis code My Take on New Ocular Screening Guidelines for Plaquenil., Hydroxychloroquine Plaquenil Toxicity and Recommendations. What is hydroxychloroquine used forChloroquine systemic lupus erythematosusPlaquenil urticariaPlaquenil pre maculopathyPlaquenil and cataracts You need to code first for the condition being treated with the Plaquenil, such as Lupus or rheumatoid arthritis, and the second code is the Z code you use. If there is any toxicity found, you have to get that code from the Drugs and Chemicals section and put that third with an "A" for initial time that's noted. Tom Cheezum, O. D. CPC Visual Fields and Plaquenil Medical Billing and Coding.. New Plaquenil Guidelines. ICD-10-CM Diagnosis Code H35.389 Toxic maculopathy, unspecified eye. Oct 01, 2019 H35.389 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM H35.389 became effective on October 1, 2019. This is the American ICD-10-CM version of H35.389 - other international versions of ICD-10 H35.389 may differ. 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. 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.