icd 10 code for plaquenel

by Prof. Bennett Moore II 4 min read

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.Aug 15, 2017

Full Answer

What is the ICD-10 code for Plaquenil?

While this clinical example focuses on Plaquenil, the concept works for any long-term medication. 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.

How do you code Plaquenil for rheumatoid arthritis (RA)?

Here’s the coding for a patient taking Plaquenil for RA: 1. Report M06.08 for RA, other, or M06.9 for RA, unspecified (always report the systemic disease state first). 2. Report Z79.899 for Plaquenil use for RA.

Where can I find the latest updates on Plaquenil coding?

When in doubt, visit aao.org/coding for the most recent updates. Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only. Question: I have heard conflicting information regarding the correct diagnosis for a Plaquenil exam.

Is Plaquenil copyrighted by the American Academy of Ophthalmology?

Information provided by our coding experts is copyrighted by the American Academy of Ophthalmology and intended for individual practice use only. Question: I have heard conflicting information regarding the correct diagnosis for a Plaquenil exam. Should I use high-risk medication as my primary code?

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How do you bill for plaquenil visual field?

You need to code first for the condition being treated with the Plaquenil, such as Lupus or rheumatoid arthritis, and the second code is the Z code you use. If there is any toxicity found, you have to get that code from the Drugs and Chemicals section and put that third with an "A" for initial time that's noted.

What is the ICD-10 code Z79 899?

ICD-10 code Z79. 899 for Other long term (current) drug therapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is the ICD-10 code for high risk medication use?

ICD-10-CM Diagnosis Code Z79 Z79.

What ICD-10 code is used for drug screening?

ICD-10-CM Codes that Support Medical Necessity For monitoring of patient compliance in a drug treatment program, use diagnosis code Z03. 89 as the primary diagnosis and the specific drug dependence diagnosis as the secondary diagnosis.

What is the ICD 10 code for long term use of immunosuppressants?

Even though ICD-10-CM does not provide a specific code for immunosuppressants, Z79. 899 is used to identify the immunosuppressant therapy.

What is ICD 10 code for medication management?

ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.

Is Plaquenil a high risk medication?

Using Plaquenil for a long period of time may harm the retina, causing serious vision loss. People with retinal damage from Plaquenil are not aware at first that they are losing vision.

What is the ICD-10 code for rheumatoid arthritis?

ICD-10 Code for Rheumatoid arthritis, unspecified- M06. 9- Codify by AAPC.

What is the ICD-10 code for long term medication use?

Long term (current) drug therapy Z79-

What is the ICD 10 code 80307?

CPT® 80307, Under Presumptive Drug Class Screening Procedures. The Current Procedural Terminology (CPT®) code 80307 as maintained by American Medical Association, is a medical procedural code under the range - Presumptive Drug Class Screening Procedures.

What is the CPT code 80307?

CPT Code 80307 is defined as “Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, ...

Does Medicare pay for CPT code 80305?

The AMA CPT code for drug testing using our 12 panel drug test cups, which is the code used for Medicare B and most other insurers, is 80305.

What is the ICd 10 code for Plaquenil?

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.

What is the T37.2x5A?

If maculopathy is present, report the adverse effect of the hydroxychloroquine as well: T37.2x5A: Adverse effect of anti-malarials and drugs acting on other blood protozoa, initial encounter. T37.2x5D: Adverse effect of anti-malarials and drugs acting on other blood protozoa, subsequent encounter.

What is the first step in coding for RA?

When coding for these individuals, it is important to understand the mechanism in place. The patient is taking a long-term medication for a specific systemic condition, such as rheumatoid arthritis (RA), so the first step is coding for that. This is where communication with other physicians is paramount. You and the patient’s other providers need to remain consistent with the ICD-10 code used to describe the condition for which the patient is being treated. Once you know the primary systemic condition, you can code the medication use and any adverse effects that require further attention.

Can Plaquenil be coding?

P 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. Although coding for long-term medications is not a difficult process, it often involves communicating with other physicians or specialists to obtain accurate information.

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