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. Plaquenil side effects fatigue Can plaquenil cause extreme fatigue Adverse effects of chloroquine Plaquenil therapy icd 10 Concomitant PLAQUENIL and digoxin therapy may result in increased serum digoxin levels serum digoxin levels should be closely monitored in patients receiving combined therapy. Insulin Or Antidiabetic Drugs. As PLAQUENIL may enhance the effects of a hypoglycemic treatment, a decrease in doses of insulin or antidiabetic drugs may be required. 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. My Take on New Ocular Screening Guidelines for Plaquenil By Sergio Schwartzman, MD 12 October 2016 A recent article published by the American Academy of Ophthalmology AAO presented new recommendations for screening of patients being managed with hydroxychloroquine HCQ. 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. Cpt code plaquenil therapy Hydroxychloroquine Plaquenil Toxicity and Recommendations., Visual Fields and Plaquenil Medical Billing and Coding. What lab needs to be monitored for hydroxychloroquineAralen injectionHow to take plaquenil THERAPY CODES Therapy Description Alias Therapy Code Enoxaparin Lovenox E015 Entinostat MS-275 E028 Entinostat SNDX-275 E028 Enzastaurin E013 Epirubicin Ellence E003 Epoetin Alfa Epogen E004 Epratuzumab LymphoCide E018 EPZ-5676 E029 Eribulin Halaven E024 Erismodegib LDE225 E025 Erlotinib Tarceva E011 Escitalopram E019 Estramustine Emcyt E005 Estrogen Patches E023 THERAPY CODES - Partners HealthCare. My Take on New Ocular Screening Guidelines for Plaquenil.. ICD-10-CM Diagnosis Code Z79.899 Other long term.. For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement. Many patients are prescribed plaquenil prior to developing symptoms. If patients are prescribed HCQ early in the disease process then they could be taking the drug for many years. The standard dose for a new patient prescribed plaquenil is 200 mg BID. Is this too much? 2011 Guidelines warned about cumulative dose of 1000g Visual evoked potential, testing for glaucoma, with interpretation and report. •This code is available, however, it was not listed/printed in 2017 CPT manual. •Note there is code 95930 Visual evoked potential VEP testing central nervous system, checkerboard or flash. REVISED CPT AND CATEGORY III CODES IN 2017.