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. Chloroquine cancer clinical trials Can i take ginsing of i'm am on plaquenil Dec 21, 2010 For a Plaquenil check, the appropriate ICD-9 code would be a V code such as V58.69 Long-term current use of other medications, with the patient's systemic condition -- the reason he's taking the drug, such as 714.x, Rheumatoid arthritis and other inflammatory polyarthropathies -- as a secondary diagnosis. 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. Risk factors that increase the chance of hydroxychloroquine retinopathy include daily dosage, cumulative dose, renal or liver disease, age, and previous retinal disease 9. A daily dose of 6.5mg/kg ideal body weight places patients at higher risk, but a daily dose below this level did not preclude the patient from developing toxicity after many years of treatment. 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. Icd 9 code for plaquenil retinopathy ICD-10-CM Diagnosis Code T37.8X5A Adverse effect of., Hydroxychloroquine Plaquenil Toxicity and Recommendations. How dispose of chloroquine safelyDoxycycline chloroquine Short description Long-term use meds NEC. 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. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. Hydroxychloroquine Plaquenil Toxicity and.. Correct diagnosis for a Plaquenil exam - American Academy of.. The goal of a diagnostic evaluation in a patient taking plaquenil is to accomplish the following 1. Educate the patient regarding the ocular risks of plaquenil therapy 2. Determine the cumulative dose of plaquenil taken by the patient 3. Determine if the patient has reached the threshold for increased risk of plaquenil-induced toxic maculopathy 4. Free, official coding info for 2020 ICD-10-CM T37.8X5A - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more. ICD-9-CM V80.2 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, V80.2 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.