In Sjögren’s, Plaquenil is used to treat many symptoms of Sjögren’s including fatigue, joint symptoms of arthritis and arthralgias (joint pain), dry mouth and dry eyes. Similar to its use in systemic lupus erythematosus, many clinicians feel that it is useful in reducing general Sjögren’s “disease activity.” One of the reasons that physicians feel comfortable in prescribing Plaquenil is its low risk to benefit ratio. Which of the following statements concerning chloroquine is correct Teva-chloroquine effets secondaires 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. The International classification of diseases ICD coding system is the standard method to document diagnoses for charting and billing purposes in the United States. The ninth vision of the system ICD-9 was in use until the transition to ICD-10 in October 1, 2015. Remember, any patient who is at a high risk for Plaquenil toxicity should be examined on an annual basis following the baseline exam. The goal of monitoring/screening is to identify early macular damage prior to irreversible vision loss or even before visible signs of bull’s eye maculopathy. As with any medication, allergic reactions including skin rashes and non-allergic reactions can occur. This means that the side effects of Plaquenil are mild and infrequent compared with its potential benefits. Plaquenil without macular signs icd 10 ICD-10-CM Code H35.89 - Other specified retinal disorders, Coding patterns used by ophthalmologists for. Chloroquine phosphate dosageHydroxychloroquine lupus pregnancyHydroxychloroquine cheap In order to protect the eyes, a baseline exam is recommended be- fore starting the drug if you are color blind, have prior retinal problems or have never had a dilated exam checking color vision is one way the doctor monitors for early damage or within the first 6-12 months if you have a history of healthy eyes and a recent retinal examination. Ask the Expert Plaquenil and Sjögren’s. New Plaquenil Guidelines. Billing and Coding Guidelines Title. Question What diagnosis code should we use for OCT when the patient is currently on Plaquenil but not yet showing signs of macular degeneration, and there is no other diagnosis available that meets the CMS LCD requirements? Answer There is probably no way you can get reimbursed for optical coherence tomography OCT to check whether a drug a patient is taking is affecting his vision. 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. Chloroquine and hydroxychloroquine belong to the quinolone family. They are related drugs with similar clinical indications for use and similar manifestations of retinal toxicity, although their therapeutic and toxic doses differ.