icd-10 code for elevated homocysteine

What raises homocysteine levels?

Homocysteine. Homocysteine is an amino acid. Vitamins B12, B6 and folate break down homocysteine to create other chemicals your body needs. High homocysteine levels may mean you have a vitamin deficiency. Without treatment, elevated homocysteine increases your risks for dementia, heart disease and stroke. Appointments & Access.

What causes high homocysteine levels?

Some common conditions associated with high homocysteine are:

• osteoporosis, or bone thinning
• atherosclerosis, or a buildup of fats and other substances in the arterial walls
• thrombosis, a blood vessel blood clot
• venous thrombosis, a blood clot in the veins
• heart attack
• coronary artery disease
• stroke
• dementia
• Alzheimer’s disease

What does a high homocysteine level mean?

Homocysteine is an amino acid produced when proteins are broken down. A high homocysteine level, also called hyperhomocysteinemia, can contribute to arterial damage and blood clots in your blood vessels. High homocysteine levels usually indicate a deficiency in vitamin B-12 or folate.

How to reduce your homocysteine levels naturally?

• Heart disease, especially before 50 years of age
• Strokes
• Alzheimer’s disease
• Abnormal blood clots
• Osteoporosis
• Cancer, especially myelomas
• Severe depression (especially in women)
• Elevated homocysteine levels

What ICD-10 code covers homocysteine?

Serum homocysteine levels will not be covered other than for suspected B12/folate deficiency, or for risk stratification for the conditions noted in the ICD-10 Codes that Support Medical Necessity section of this Billing and Coding: Homocysteine Level, Serum A56675 article.

What is elevated homocysteine?

If your results show high homocysteine levels, it may mean: You are not getting enough vitamin B12, B6, or folic acid in your diet. You are at a higher risk of heart disease. Homocystinuria. If high levels of homocysteine are found, more testing will be needed to rule out or confirm a diagnosis.

What does homocysteine mean?

Definition of homocysteine : an amino acid C4H9NO2S that is produced in animal metabolism by the demethylation of methionine and that appears to be associated with an increased risk of cardiovascular disease when occurring at high levels in the blood.

Is homocysteine the same as homocystinuria?

Homocysteine is an intermediary amino acid formed by the conversion of methionine to cysteine (figure 1). Homocystinuria is a rare autosomal recessive disorder characterized by severe elevations in plasma and urine homocysteine concentrations.

What causes elevated homocysteine?

Most people who have a high homocysteine level don't get enough folate (also called folic acid), vitamin B6, or vitamin B12 in their diet. Replacing these vitamins often helps return the homocysteine level to normal. Other possible causes of a high homocysteine level include: Low levels of thyroid hormone.

What is homocysteine called in a blood test?

A homocysteine test is a blood test. It measures the amount of homocysteine, an amino acid in the body. The test is often used to diagnose vitamin B6, B9 or B12 deficiency. People with elevated homocysteine may have a higher risk for cardiovascular disease.

What's another word for homocysteine?

In this page you can discover 14 synonyms, antonyms, idiomatic expressions, and related words for homocysteine, like: cholesterol, triglyceride, ldl cholesterol, fibrinogen, atherogenic, , folate, crp, cortisol, haemoglobin and HDL-C.

What is MMA and homocysteine?

Serum homocysteine and methylmalonic acid (MMA) levels are helpful confirmatory tests for cobalamin and folate deficiencies. Both are increased in cobalamine deficiency. Homocysteine but not MMA is increased in folate deficiency.

How do you treat elevated homocysteine levels?

Although combined folic acid and B-vitamin therapy substantially reduces homocysteine levels, results from randomized placebo-controlled clinical trials testing the effect of vitamin therapy on outcome in these diseases are mixed, but have generally fallen short of expectations.

How is homocystinuria diagnosis?

Tests that can detect elevated levels of homocysteine, methionine, or homocysteine in the plasma or urine may be used to help confirm a diagnosis of homocystinuria. Usually individuals will undergo genetic testing looking for changes in both copies of the CBS gene to confirm their diagnosis.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

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Article Guidance

The information in this article contains billing, coding or other guidelines that complement the Local Coverage Determination (LCD) for Homocysteine Level, Serum L34419.

ICD-10-CM Codes that Support Medical Necessity

The correct use of an ICD-10 code listed below does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in the Homocysteine Level, Serum L34419 LCD.

Bill Type Codes

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Revenue Codes

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LCD Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

General Information

Documentation Requirements Documentation supporting medical necessity should be legible, maintained in the patient's medical record, and must be made available to the A/B MAC upon request. The patient's medical record must contain documentation that fully supports the medical necessity for services included within this Local Coverage Determination (LCD) (see Coverage Indications, Limitations and/or Medical Necessity ).