• ICD-10 Code for Completion of Plaquenil Treatment


    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. It may ultimately be patient's responsibility. For commercial payers, I would preauthorize.

    Learn more about plaquenil billing in the Complete Guide to Retina Coding.