Vitamin D deficiency, unspecified
Why ICD-10 codes are important
MEDICARE LOCAL COVERAGE ARTICLE (LCA) - A57718 PROCEDURE CODES: 82306, 82652 Vitamin D Assay Testing For services performed on or after 2-3-2017 DLS TEST CODE AND NAME The following ICD-10-CM codes support the medical necessity of procedure code 82652 The following ICD-10-CM codes support the medical necessity of procedure code 82306
Sequelae of unspecified nutritional deficiency
2. For 82306: If more than one LCD-listed condition contributes to Vitamin D deficiency in a given patient and/or is improved by Vitamin D administration, coders should use: ICD-10 E55. 9 UNSPECIFIED VITAMIN D DEFICIENCY. This code should not be used for any other indication.
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
Vitamin D deficiency (ICD-10 CM Diagnosis Code E55. 9) is an overlooked diagnosis for a number of alarming symptoms and afflictions. Depression, fatigue, anxiety, kidney disease, weakened immune system, and even psoriasis have been known to manifest as a result of vitamin D deficiency.
The measurement of 25(OH) Vitamin D levels will be considered medically reasonable and necessary for patients with any of the following conditions: Chronic kidney disease stage III or greater. Hypercalcemia. Hypocalcemia.
ICD-10 | Vitamin D deficiency, unspecified (E55. 9)
ICD-10 code D51. 9 for Vitamin B12 deficiency anemia, unspecified is a medical classification as listed by WHO under the range - Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism .
This test is appropriate for assessment of vitamin D deficiency. Vitamin D, 1,25-dihydroxy (CPT code 82652) is primarily indicated during patient evaluations for hypercalcemia and renal failure.
Vitamin D testing is unproven and not medically necessary for routine preventive screening due to insufficient evidence of efficacy. Vitamin D testing is proven and medically necessary for conditions or medical diagnoses associated with Vitamin D deficiency or risk of hypercalcemia.
Medicare Part B and Medicare Advantage plans cover a wide range of clinical laboratory tests, including blood work, if your physician orders them. This may include vitamin D screenings, particularly for populations that have an increased risk of a deficiency.
Certain other conditions may impact an individual's ability to absorb or activate vitamin D, thereby resulting in vitamin D deficiency. These include, but are not limited to, celiac disease, liver cirrhosis, chronic kidney disease, and bariatric surgery.
Vitamin D deficiency may lead to a variety of disorders, the most infamous of which is rickets. Evaluating patients’ vitamin D levels is accomplished by measuring the level of 25-hydroxyvitamin D. Measurement of other metabolites is generally not medically necessary.
Vitamin D deficiency results in abnormalities in calcium, phosphorus, and bone metabolism. Specifically, vitamin D deficiency causes a decrease in the efficiency of intestinal calcium and phosphorus absorption of dietary calcium and phosphorus, resulting in an increase in parathyroid hormone (PTH) levels.
Vitamin D is called a “vitamin” because of its exogenous source, predominately from oily fish in the form of vitamin D2 and vitamin D3.
A major source of vitamin D for most humans comes from exposure of the skin to sunlight typically between 1000 hours and 1500 hours in the spring, summer, and fall. Vitamin D produced in the skin may last at least twice as long in the blood compared with ingested vitamin D.
Vitamin D has been described as an immunomodulator targeting various immune cells, including monocytes, macrophages, T-lymphocytes, and B-lymphocytes.5 Studies have suggested that vitamin D plays an important role in maintenance of the immune system.
Once in the blood, vitamin D2 and D3 from diet or skin bind with vitamin D binding protein and are carried to the liver where they are hydroxylated to yield calcidiol. Calcidiol then is converted in the kidney to calcitriol by the action of 1a-hydroxylase (CYP27B1).
Clinical Information. A nutritional condition produced by a deficiency of vitamin d in the diet, insufficient production of vitamin d in the skin, inadequate absorption of vitamin d from the diet, or abnormal conversion of vitamin d to its bioactive metabolites.
The 2021 edition of ICD-10-CM E55 became effective on October 1, 2020.
Vitamin b12 deficiency. Clinical Information. A nutritional condition produced by a deficiency of folic acid in the diet. Many plant and animal tissues contain folic acid, abundant in green leafy vegetables, yeast, liver, and mushrooms but destroyed by long-term cooking.
A nutritional condition produced by a deficiency of vitamin b 12 in the diet, characterized by megaloblastic anemia. Since vitamin b 12 is not present in plants, humans have obtained their supply from animal products, from multivitamin supplements in the form of pills, and as additives to food preparations.
Alcohol interferes with its intermedi ate metabolism and absorption. Folic acid deficiency may develop in long-term anticonvulsant therapy or with use of oral contraceptives. This deficiency causes anemia, macrocytic anemia, and megaloblastic anemia.