icd 10 code for vit d'25 oh

Full Answer

What is the ICD 10 code for vitamin D deficiency?

Diagnosis Index entries containing back-references to E55.9: Avitaminosis (multiple) E56.9 - see also Deficiency, vitamin ICD-10-CM Diagnosis Code E56.9 Calciferol (vitamin D) E55.9 Deficiency, deficient calciferol E55.9 Ergosterol deficiency (vitamin D) E55.9

Is there a reference interval for vitamin D levels?

This approach provides a “reference interval” but does not adequately determine health status with regard to vitamin D levels if a significant portion of the reference population is, in fact, deficient.

What is included in the evaluation of vitamin D levels?

Evaluation of vitamin D levels is done by measuring the level of 25-hydroxyvitamin D. Medical coding services for Vitamin D deficiency involve coding to the highest level of specificity to report medically necessary screening for Vitamin D deficiency.

What is the most common form of vitamin D?

In humans, the most important forms are vitamin D3 (also known as cholecalciferol) and vitamin D2 (ergocalciferol). Vitamin D3 is the more common form.

What ICD-10 code will cover vitamin D level?

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.

What is the diagnosis code for Vitamin D 25 Hydroxy?

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.

What is the difference between CPT 82306 and 82652?

Note: Code 82306 includes fractions, if performed. Note: Code 82652 includes fractions, if performed. LCD Description:Vitamin D is a hormone, synthesized by the skin and metabolized by the kidney to an active hormone, calcitriol.

How does Medicare cover vitamin D levels?

For Medicare beneficiaries, screening tests are governed by statute. Vitamin D testing may not be used for routine screening. Once a beneficiary has been shown to be vitamin D deficient, further testing is medically necessary only to ensure adequate replacement has been accomplished.

What diagnosis code is used for vitamin D?

E55. 9 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 E55. 9 became effective on October 1, 2021.

What diagnosis will cover Vit D blood test?

Measurement of 1, 25-OH Vitamin D level is indicated for patients with: unexplained hypercalcemia (suspected granulomatous disease or lymphoma) unexplained hypercalciuria (suspected granulomatous disease or lymphoma) suspected genetic childhood rickets.

What diagnosis codes cover 82306?

Group 1CodeDescription82306VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED82652VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED

How often can 82306 be billed?

25-OH Vitamin D-3 (82306) may be tested up to four times per year for Vitamin D deficiencies (268.0, 268.2–268.9). Fibrinogen, antigen (85385) may be tested up to four times per year for low platelet diagnoses (287.30–287.33, 287.41, 287.49, 287.5).

Is vitamin D covered by Medicare Part D?

Medicare Part D does cover prenatal vitamins, fluoride and vitamin D analogs, such as calcitriol, doxercalciferol and paricalcitol. Prescription drugs used for cosmetic purposes or hair growth, but Medicare Part D does cover prescription drugs to treat psoriasis, acne, rosacea and vitiligo.

Why is Vit D not covered by insurance?

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.

Does insurance cover vitamin D?

On average, a vitamin D deficiency test can cost $50, typically covered by health insurance.

Document Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

This LCD supplements but does not replace, modify or supersede existing Medicare applicable National Coverage Determinations (NCDs) or payment policy rules and regulations for Vitamin D; 25 hydroxy, includes fraction (s), if performed.

Coverage Guidance

History/Background and/or General Information Vitamin D, a group of fat-soluble prohormones, is an essential Vitamin. There are two major types of Vitamin D (Vitamin D2 and Vitamin D3) which are collectively known as calciferol.

Special Instructions

This test is not the same as Calcitriol (1,25 di-OH Vitamin D) [081091] (vitamin D 3 ), which must be ordered separately.

Expected Turnaround Time

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Collection

If tube other than a gel-barrier tube is used, transfer separated serum to a plastic transport tube.

Limitations

Values of vitamin D vary with exposure to sunlight.

Methodology

Immunochemiluminometric assay (ICMA). This assay is performed on the DiaSorin LIAISON® instrument in multiple laboratories throughout LabCorp. This highly automated test measures both D 2 and D 3 together and reports a total 25-hydroxy vitamin D.

Additional Information

The majority of 25-OH vitamin D (25-D) in the circulation is derived from the conversion of 7-dehydrocholesterol in the skin that is irradiated with ultraviolet radiation in the UVB range (wavelength 290 nm to 315 nm).