89.
High levels of vitamin B-12 can be a sign of liver disease, certain types of leukemia, or diabetes. Vitamin B-12 deficiency is a common condition. Between 1.5 and 15 percent of Americans have low levels of vitamin B-12, according to the National Institutes of Health .
Vitamin B-12 (82607) and folate (82746) can be tested up to four times per year for malabsorption syndromes (K90. 9) or deficiency disorders (D81. 818, D81. 819, E53.
There is agreement within the literature that serum vitamin B12 testing should be used to diagnose vitamin B12 deficiency in symptomatic and high-risk populations. One of the leading causes of vitamin B12 deficiency is pernicious anemia, an autoimmune disease that results in the failure to produce intrinsic factor.
Usually, excess vitamin B12 is removed in the urine. Conditions that can increase B12 level include: Liver disease (such as cirrhosis or hepatitis) Myeloproliferative disorders (for example, polycythemia vera and chronic myelogenous leukemia)
The most common cause of high B12 in the blood is due to recent ingestion or injection of supplemental vitamin B12. We don't worry about overdosing on B12 supplements because excess can be excreted in your urine. It could also be possibly from your diet if high in animal products such as meat, eggs, and shellfish.
CPT-4 code 82607 (cyanocobalamin [vitamin B-12]) is reimbursable only when billed in conjunction with one or more of the following ICD-10-CM codes.
Cobalamin; Cyanocobalamin. Vitamin B12, also called cobalamin, is one of 8 B vitamins. All B vitamins help the body convert food (carbohydrates) into fuel (glucose), which is used to produce energy. These B vitamins, often referred to as B complex vitamins, also help the body use fats and protein.
8: Deficiency of other specified B group vitamins.
Vitamin B12 deficiency anemia due to intrinsic factor deficiency. D51. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM D51.
High doses of vitamin B-12, such as those used to treat a deficiency, might cause:Headache.Nausea and vomiting.Diarrhea.Fatigue or weakness.Tingling sensation in hands and feet.