Chloroquine is now uncommonly used in favor of its derivative hydroxychloroquine. In the United States, hydroxychloroquine is most often used for its anti-inflammatory effects in rheumatology and dermatology. Hydroxychloroquine 200 mg bid Lupus and plaquenil problems Plaquenil and shingles Retinopathy due to hydroxychloroquine; Retinopathy due to trifluoperazine; Retinopathy of bilateral eyes caused by hydroxycloroquine; Retinopathy, late effect of radiation; Right hydroxychloroquine retinopathy eye condition Right retinopathy due to hydroxychloroquine; ICD-10-CM H35.00 is grouped within Diagnostic Related Groups MS-DRG v 37. ICD-10 Diagnosis Codes H35.381–Toxic Maculopathy, right eye H35.382–Toxic Maculopathy, left eye H35.383–Toxic Maculopathy, bilateral. Title Toxic Maculopathy Of Retina. Category Other Retinal Disorders. Description Medications like plaquenil and chloroquine can induce degenerative changes in the ganglion cells and photoreceptor cells of the retina. Plaquenil-induced maculopathy is a form of retinal toxicity that is associated with long-term use of of the anti-inflammatory medication plaquenil. The drug-induced maculopathy is associated with the following risk factors Cumulative dose level of 1,000 grams of plaquenil. Patients with existing retinal or macular disease. While early toxicity may be asymtomatic, patients with more advanced stage of toxicity may complain of color vision changes or paracentral scotomas. Its toxic effects on the retina are seen in the macula. Plaquenil maculopathy icd 10 Hydroxychloroquine Plaquenil Toxicity and Recommendations., H35.381-383 Toxic Maculopathy Of Retina - Decision-Maker PLUS Macular degeneration plaquenil The ICD-10-CM code H35.89 might also be used to specify conditions or terms like abnormal rod or cone threshold, absent foveal reflex, acute retinal necrosis, aminoquinoline antimalarial adverse reaction, angiomatosis of retina, atrophic retina, etc ICD-10-CM Code H35.89 - Other specified retinal disorders. Plaquenil-Induced Toxic Maculopathy - Decision-Maker PLUS. Acute Idiopathic Maculopathy - EyeWiki. Abstract. Background The American Academy of Ophthalmology recommendations on screening for chloroquine CQ and hydroxychloroquine HCQ retinopathy are revised in light of new information about the prevalence of toxicity, risk factors, fundus distribution, and effectiveness of screening tools. 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. Unspecified background retinopathy. H35.00 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2019 edition of ICD-10-CM H35.00 became effective on October 1, 2018.