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. Hydroxychloroquine hemodialysis New guidelines for plaquenil macuopathy 2018 pubmed Plaquenil deplete magnesium V58.69 long-term use of high-risk medications, and The E-code for the medication E931.4 for Plaquenil. E-codes are supplemental codes that capture the external cause of injury or poisoning or the intent and the place where the event occurred. Oct 01, 2019 High risk heterosexual behavior. 2016 2017 2018 2019 2020 Billable/Specific Code POA Exempt. Z72.51 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 Z72.51 became effective on October 1, 2019. Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Doctor Clinic High Risk Factors Asian ethnicity Tamoxifen use Macular disease AMD, ERM, etc. Kidney renal or Liver hepatic disease. Current Dosing. metric english. 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. High risk drug use icd 10 plaquenil Icd 10 High Risk Medication Plaquenil – 2019, ICD-10-CM Diagnosis Code Z72.51 High risk heterosexual. Surfactant protein c deficiency hydroxychloroquineDoes allopurinol interact with plaquenil Plaquenil is often prescribed to our pt's for arthritis, which can affect the field of vision. When I send the claim billed as 92083 HVF with the Dx Z79.899 High risk meds, if often comes back denied. Visual Fields and Plaquenil Medical Billing and Coding.. Plaquenil hydroxychloroquine Screening, ICD-10 Z79.889. Coding exams for patients on high-risk medications - American Academy.. ICD-10 Classifications. 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. When use is between 4.0 and 5.0 mg/kg, the risk is very low within the first 5 to 10 years, but it increases markedly thereafter. Reproduced from Melles and Marmor, 2014 7 HCQ is cleared by the kidneys and thus renal disease increases the risk of toxicity. Let’s use bronchodilators as an example. A patient with acute COPD in the ED who is receiving bronchodilators might qualify. A patient on chronic maintenance of the same class of drugs as an outpatient will not qualify. When deciding whether to assign high risk, both the drug and the monitoring need to qualify.