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: What is an appropriate ICD-10 code for a patient who has completed their Plaquenil treatment?
2018/2019 ICD-10-CM Diagnosis Code Z79.01. Long term (current) use of anticoagulants. 2016 2017 2018 2019 Billable/Specific Code POA Exempt. Z79.01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
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?
ICD-10 Code for Other long term (current) drug therapy- Z79. 899- Codify by AAPC.
ICD-10-CM Diagnosis Code Z79 Z79.
Even though ICD-10-CM does not provide a specific code for immunosuppressants, Z79. 899 is used to identify the immunosuppressant therapy.
ICD-10 code Z51. 81 for Encounter for therapeutic drug level monitoring is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
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.
Here's the coding for a patient taking Plaquenil for RA:Report M06. 08 for RA, other, or M06. ... Report Z79. 899 for Plaquenil use for RA.Always report both. ... If maculopathy is present, report the adverse effect of the hydroxychloroquine as well:
A: Assign a code from Z79 if the patient is receiving a medication for an extended period as a prophylactic measure (such as for the prevention of deep vein thrombosis) or as treatment of a chronic condition (such as arthritis) or a disease requiring a lengthy course of treatment (such as cancer).
ICD-10-CM Code for Immunodeficiency, unspecified D84. 9.
Z79. 899 is the code recommended by the American Academy of Ophthalmology.
ICD-10 Code for Encounter for issue of repeat prescription- Z76. 0- Codify by AAPC.
ICD-10 Code for Rheumatoid arthritis, unspecified- M06. 9- Codify by AAPC.
811.
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.
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.
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.
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.