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 p62 Do side effects of plaquenil start right away Exam coding Coding Eye Exams Follow these suggestions for insight into headache-free coding. BY JOHN M. B. RUMPAKIS, O. D. M. B. A, Lake Oswego, Ore. In an ideal world, professors of Optometry 101 would teach coding for eye exams because it's such a basic foundation within our practices. As of October 1, 2015, the new International Classification of Diseases, Tenth Revision ICD-10 was implemented as the required diagnosis code set to be used for billing all claims to insurers. Coding Compliance Multifocal Electroretinopathy measures electrical responses of various cell types in the retina. It is thought that although the bull’s eye seen on ophthalmic exam represents a disruption of the pigmented part of the retina, it is the photoreceptors that are the targets of hydroxychloroquine toxicity. 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. Plaquenil eye exam diagnosis code Coding and Billing Update Handout, ICD-10 Can plaquenil cause hair loss 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. ICD-9-CM Diagnosis Code V58.69 Long-term current use.. My Take on New Ocular Screening Guidelines for Plaquenil.. ICD-10-CM Diagnosis Code Z79.899 Other long term.. Routine Eye Exam codes Review of GEMS The General Equivalence Mapping from ICD-9 to ICD-10 Common signs and symptoms including floaters, halos, blurred vision, red eyes, eye pain, nausea, and. The present exam.more, no less. Grading is done after the record is completed. Then choose codes to represent what is done, based on the content of the record.”---Charles Brownlow, O. D. • “However, it is OK to play the game.” ---Chris Borgman, O. D. Billing & Coding • Master the billing and coding puzzle. Reader Question Plaquenil Exam Reader Question Plaquenil Exam. If the patient is taking the drug, code V58.69; a few carriers, however, prefer V80.2 special screening for other eye conditions. To be paid for the visit and the visual fields, use the specific diagnosis code recommended by the carrier in its LMRP.