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
In humans, the most important forms are vitamin D3 (also known as cholecalciferol) and vitamin D2 (ergocalciferol). Vitamin D3 is the more common form.
E50.1 Vitamin A deficiency with Bitot's spot and co... E50.3 Vitamin A deficiency with corneal ulceration ... E50.6 Vitamin A deficiency with xerophthalmic scars...
If a patient is at risk for vitamin D deficiency and has not been tested recently, a test should be ordered to assess levels. Some physicians may wish to monitor people receiving vitamin D therapy to evaluate for compliance and expected change in concentration.
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.
4. Assays of the appropriate vitamin D levels for ICD-10 codes E55. 0, E55.
Reference Range. The major circulating form of vitamin D is 25-hydroxyvitamin D (25(OH)D); thus, the total serum 25(OH)D level is currently considered the best indicator of vitamin D supply to the body from cutaneous synthesis and nutritional intake. The reference range of the total 25(OH)D level is 25-80 ng/mL.
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.
On average, a vitamin D deficiency test can cost $50, typically covered by health insurance.
Many people are confused by the way these tests are reported. 25 hydroxy vitamin D3 (cholecalciferol) is the vitamin D that your own body has made or that you absorbed from an animal source (such as fatty fish or liver) or a cholecalciferol supplement.
Getting enough, but not too much, vitamin D is needed to keep your body functioning well. Vitamin D helps with strong bones and may help prevent some cancers. Symptoms of vitamin D deficiency can include muscle weakness, pain, fatigue and depression.
Serum levels of 25-hydroxyvitamin D (25(OH)D) are used to establish an individual's vitamin D status, while the biologically active molecule, 1,25-dihydroxyvitamin D (1,25(OH)2D), is produced by the hydroxylation of 25(OH)D primarily in the kidneys under the regulation of parathyroid hormone (PTH) and serum calcium [3] ...
Group 1CodeDescription82306VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED82652VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED
Medicare considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered. Similarly, assays for micronutrient testing for nutritional deficiencies that include multiple tests for vitamins, minerals, antioxidants and various metabolic functions are never necessary.
25-OH Vitamin D-3 (82306) may be tested up to four times per year for Vitamin D deficiencies (268.0–268.9).
Clinical Terms for Vitamin D deficiency (E55) Vitamin D Deficiency or Rickets-.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.
E55.9 is a billable diagnosis code used to specify a medical diagnosis of vitamin d deficiency, unspecified. The code E55.9 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as E55.A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Note. All neoplasms, whether functionally active or not, are classified in Chapter 2. Appropriate codes in this chapter (i.e. E05.8, E07.0, E16-E31, E34.-) may be used as additional codes to indicate either functional activity by neoplasms and ectopic endocrine tissue or hyperfunction and hypofunction of endocrine glands associated with neoplasms and other conditions classified elsewhere.
Hypovitaminosis D is a deficiency of vitamin D. It can result from inadequate nutritional intake of vitamin D and/or inadequate sunlight exposure (in particular sunlight with adequate ultraviolet B rays), disorders limiting vitamin D absorption, and conditions impairing vitamin D conversion into active metabolites—including certain liver, kidney, and hereditary disorders.
Routine tests are a fundamental part of preventive care and health management. However, additional screenings and lab work may be ordered by your
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.
The 2022 edition of ICD-10-CM E55 became effective on October 1, 2021.
Explanation of Revision: This LCD was revised in the “ICD-10 Codes that Support Medical Necessity” section of the LCD under “Group 1 Medical Necessity ICD-10 Codes Asterisk Explanation:” to include an explanation that all the codes within the asterisked range from the first code to the last code apply. The effective date of this revision is based on process date.
Patients with Vitamin D deficiency that have been supplemented to normal levels are limited to one test per year.
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25 (OH)D is the main form of vitamin D circulating in the blood and the best indicator of vitamin D deficiency or excess in patients not suffering from renal disease.
Vitamin D deficiency is common. As much as 68%–77% of the population is estimated to have suboptimal (<30 ng/mL) levels of vitamin D .3–5
Vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Deficiency has also been associated with a wide range of medical conditions, including heart disease, hypertension, diabetes, and cancer.
Vitamin D is critical for maintaining healthy levels of calcium and phosphorus by aiding in their absorption from the gut. This helps the body form and maintain strong bones. Vitamin D also modulates neuromuscular, immune, and other cellular functions.
The reference range for 25 (OH)D for all 3 tests is 30–100 ng/mL. Tests using the LC/MS/MS method (test code 92888) provide the concentration of 25 (OH)D2 and 25 (OH)D3. However, neither reference nor interpretative ranges have been established for these components of 25 (OH)D.
Vitamin D2 is derived from fungal and plant sources. It is available in over the counter and prescription supplements used to treat vitamin D deficiency.
In most jurisdictions, Medicare has expanded coverage for vitamin D testing for at-risk patients who have a BMI ≥30. When ordering tests for these patients, use the correct ICD-10 codes to support accurate payment and reduce disruptions. For obesity, these are Z68.30–Z68.45. Review our Medicare Coverage and Coding Guide for more information.
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.
The 2022 edition of ICD-10-CM E55 became effective on October 1, 2021.