Her rheumatologist instructed her to undergo a baseline ocular examination prior to initiating Plaquenil (hydroxychloroquine, Sanofi-Aventis) therapy. 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. Although the incidence of macular toxicity is infrequent with Plaquenil use (at a dosage of 200mg or 400mg q.d.), its visual impact can be devastating. Hydroxychloroquine in diabetes Chloroquine x ray structure Note This document contains side effect information about hydroxychloroquine. Some of the dosage forms listed on this page may not apply to the brand name Plaquenil. For the Consumer. Applies to hydroxychloroquine oral tablet. Along with its needed effects, hydroxychloroquine the active ingredient contained in Plaquenil may cause some. Although hydroxychloroquine retinal toxicity is thought to be rare, recent studies suggest it may have a higher prevalence than previously recognized. A large study examining patients with more than 5 years of HCQ use were evaluated with 10-2 visual fields or spectral-domain optical coherence tomography SD OCT. 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 inform Initially, central visual acuity may be unaffected, but the patient may notice related paracentral scotomas that often interfere with reading. The associated classic retinal toxicity is described as a bull’s eye maculopathy (ring of depigmented retinal pigment epithelium that spares the foveal area). Oct for plaquenil icd10 ICD 10 for Plaquenil Medical Billing and Coding Forum - AAPC, Hydroxychloroquine Plaquenil Toxicity and. Hydroxychloroquine sulphate over the counterPlaquenil for rheumatoid arthritis reviews Sep 13, 2019 Every October, new ICD-10-CM codes are announced to take full effect January 1 of the following year. The code changes for 2019 have been compiled by PECAA into a list of 2019 optometry coding guidelines—keep an eye out for the upcoming 2020 code changes. The Ultimate Guide to Optometry Billing and Coding.. Coding Long-term Medications. Correct diagnosis for a Plaquenil exam - American Academy of Ophthalmology. Diagnosis Hydroxychloroquine-induced retinal toxicity Discussion. 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. How to Use the ICD-10-CM 1. Look up the main term in the Alphabetical Index, scan subterm entries if needed. Review continued lines / additional subterms 2. Note parenthetical te rms that help with code selection but do not affect code assignment How to Use the ICD-10-CM continued 3. Pay attention to the following index instructions in Hydroxychloroquine ICD-10-CM Drugs Index The ICD-10-CM Drugs Index is designed to allow medical coders to look up various medical terms and connect them with the appropriate ICD codes. There are 0 terms under the parent term 'Hydroxychloroquine' in the ICD-10-CM Drugs Index.