It's used to treat and prevent malaria infection, and to reduce symptoms and progression of autoimmune diseases such as lupus, rheumatoid arthritis, and others. Malaria is spread by mosquitoes, which transmit the parasites that cause the infection, usually in tropical and subtropical parts of the world. Chloroquine lichen planus Chloroquine dosing for lupus retina What is hydroxychloroquine sulfate tablets used to treat For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement. Plaquenil is also used for long-term treatment of autoimmune diseases such as rheumatoid arthritis RA and systemic lupus erythmatosis. According to the Mayo Clinic, it can take up to six months' constant use before an effect is seen in RA 1. Plaquenil can cause serious side effects when used in high doses for chronic diseases such as RA over. You should not use Plaquenil if you are allergic to hydroxychloroquine. Plaquenil should not be used for long-term treatment in children. To make sure Plaquenil is safe for you, tell your doctor if you have a history of vision changes or damage to your retina caused by an anti-malaria medication; For example, it may be combined with an antibiotic to treat chronic Q-fever, which humans usually catch from farm animals or raw milk. Plaquenil is used to treat other types of infections too. How to code long term use plaquenil Coding Long-term Medications, Long-Term Side Effects of Plaquenil for Rheumatoid. Can plaquenil cause extreme fatiguePlaquenil uptodate For the diagnosis code, use V58.69 long-term current use; of other medications for the primary diagnosis, and then the diagnosis code which applies to the systemic condition for which the patient is taking Plaquenil e.g. 714.2, other rheumatoid arthritis with visceral systemic involvement. For the baseline exam done before the patient is. Reader Question Coding for Plaquenil Toxicity Observation. Plaquenil Uses, Dosage & Side Effects -. Hydroxychloroquine Plaquenil. Long term studies have shown a high rate of termination of hydroxychloroquine treatment in patients with RA. Although it has been shown that discontinuation of treatment with hydroxychloroquine is associated with exacerbation of SLE, long term maintenance rates of treatment with hydroxychloroquine in patients with SLE have not been investigated. Should I use high-risk medication as my primary code? Answer When billing Plaquenil examinations, or any other high risk medication exams, it is appropriate to bill the systemic disease or any ocular manifestations as the primary diagnosis since many payers may not reimburse for the high-risk medication diagnosis as a stand-alone diagnosis. Avoid alcoholic beverages because they may increase your risk of liver problems while you are taking this drug. Caution is advised when using this drug in children because they may be more sensitive to the side effects of the drug. This medication is not recommended for long-term use in children.