ICD-10's Z79.899 Other long term (current) drug therapy should be linked to any tests performed. You may also add it to the exam for supporting documentation. Chloroquine fluoroquinolones Chloroquine malaria medication Plaquenil liver enzymes 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. I was told from the start by my rheumatologist I would have to have eye exams including visual field exams every six months due to the plaquenil therapy. My first two exams did include these tests. But my next six month appointment is coming up, and they told me I didn't need the visual field test this time so the appointment would be shorter. Rheumatoid arthritis RA was previously represented by the ICD-9-CM code 714.0. Now RA and its many manifestations are represented by more than 300 individual codes that are grouped under two main categories Rheumatoid arthritis with rheumatoid factor ICD-10-CM code M05. Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. Answer: When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Icd 10 plaquenil therapy ICD 10 for Plaquenil Medical Billing and Coding Forum - AAPC, Plaquenil therapy and eye exams. - Eye Care - MedHelp Antimalarials hydroxychloroquineHydroxychloroquine retinopathy octWhen rheunatoid factor elevates while on plaquenil Arizona Subscriber Answer Plaquenil is the trade name for hydroxy-chloroquine, a medication used to treat rheumatoid arthritis and lupus. It can harm the lens and retina of the eye. Primary-care physicians often refer a patient to an ophthalmologist for monitoring ocular changes. Reader Question Use V Codes for Plaquenil Patients.. New ICD-10 Code for RA Patients. Z79.899 ICD-10-CM Code - Other long term current drug. M06.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM M06.9 became effective on October 1, 2018. Question What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment? Answer Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm may be appropriate, but it really depends on your payer. Not every MAC that has an LCD policy allows for this diagnosis. In 2002, the American Academy of Ophthalmology AAO established ocular examination guidelines for screening patients on Plaquenil therapy. Testing included a comprehensive eye exam that consisted of an assessment of the posterior segment with careful evaluation of associated macular changes or signs of retinal disease. 4 Baseline fundus.