Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information. While this clinical example focuses on Plaquenil, the concept works for any long-term medication. Plaquenil and radiation Plaquenil granuloma annulare Can you take ibuprofen with plaquenil Hydroxychloroquine sulfate rheumatoid arthritis 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. Our office has been including a second diagnosis for the disease related to Plaquenil use. We aren't seeing denials using that method but from a coding standpoint I don't know if that is a 'more correct' coding or if we are just billing different insurances and getting different responses regardless of our using a second dx code. ICD-10 Diagnosis Codes H35.381–Toxic Maculopathy, right eye H35.382–Toxic Maculopathy, left eye H35.383–Toxic Maculopathy, bilateral Title Toxic Maculopathy Of Retina. Category Other Retinal Disorders. Description Medications like plaquenil and chloroquine can induce degenerative changes in the ganglion cells and photoreceptor cells of the retina. Because Plaquenil does not have its own specific category, clinicians should use Z79.899—Other Long Term (Current) Drug Therapy. The ICD-10 section that covers long-term drug therapy is Z79, with many subsections and specific diagnosis codes. Plaquenil icd 10 Hydroxychloroquine ICD-10-CM Drugs Index, Visual Fields and Plaquenil Medical Billing and Coding. Hydroxychloroquine and sun exposureHydroxychloroquine and lupus mechanism of actionCan plaquenil help osteoarthritis Problems with Plaquenil Use. Paracentral scotomas have been reported prior to the associated maculopathy, so an amsler grid test or central 10-2 visual field perimetry was recommended. 2,5. Additionally, color vision––helping in the assessment of macular integrity––was recommended as an optional test. New Plaquenil Guidelines. H35.381-383 Toxic Maculopathy Of Retina - Decision-Maker PLUS. Correct diagnosis for a Plaquenil exam - American Academy.. If this is your first visit, be sure to check out the FAQ & read the forum view all forums, post or create a new thread, you must be an AAPC you are a member and have already registered for member area and forum access, you can log in by clicking you've forgotten your username or password use our password reminder start viewing messages, select the forum that. 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. 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.