Icd10 cm code for plaquenil use

Discussion in 'Northwest Pharmacy' started by SergZorin, 17-Mar-2020.

  1. cosmogen User

    Icd10 cm code for plaquenil use


    Testing services performed should have the high-risk medication diagnosis as the primary diagnosis since that is the reason for the testing.. Atients taking Plaquenil (hydroxychloroquine, Sanofi-Aventis) on a long-term basis may leave you scratching your head when it comes to coding the patient encounters.

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    If the patient is still being treated with the drug, use V58.69 Long-term current use of other medications. For your secondary diagnosis, code the reason the patient is on Plaquenil, the underlying condition, most typically lupus 710.0 or rheumatoid arthritis 714.0 Should I use high-risk medication as my primary code? 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. 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.

    While this clinical example focuses on Plaquenil, the concept works for any long-term medication. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information.

    Icd10 cm code for plaquenil use

    ICD-10-CM Code Z79.899 - Other long term current drug., Correct diagnosis for a Plaquenil exam - American Academy.

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  7. Z01.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description Encounter for exam of eyes and vision w/o abnormal findings The 2020 edition of ICD-10-CM Z01.00 became effective on October 1, 2019.

    • ICD-10-CM Diagnosis Code Z01.00 Encounter for..
    • Coding Long-term Medications.
    • What Are ICD-10 Codes and How Do They Work?.

    Use ICD-10 Now! ICD-10 Implementation Date October 1, 2015 Code services provided on or after Oct 1, 2015 with ICD-10 Code services provided before Oct 1, 2015 with ICD-9, even if you submit the claim after Oct 1, 2015 The ICD-10 transition is a mandate that applies to all parties covered by HIPAA, not just providers who bill Medicare or Medicaid. ICD-9-CM V58.69 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V58.69 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code or codes. 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.

     
  8. pte Guest

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  10. ralan User

    Plaquenil side effects - kidney problems? - Symptoms - Life. Lupus nephritis is the term used when lupus causes inflammation in your kidneys, making them unable to properly remove waste from your blood or control the amount of fluids in your body. Abnormal levels of waste can build up in the blood, and edema swelling can develop.

    Plaquenil Side Effects on Your Eyes and Vision
     
  11. GGC Manager Well-Known Member

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