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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
The ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical Modification) is a system used by physicians and other healthcare providers to classify and code all diagnoses, symptoms and procedures recorded in conjunction with hospital care in the United States.
L33996 Vitamin D Assay Testing A56798 Billing and Coding: Vitamin D Assay Testing CGS
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.
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 code: E55. 9 Vitamin D deficiency, unspecified.
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.
Do Medicare prescription drug plans cover vitamin D3? No. In general, Medicare prescription drug plans (Part D) do not cover this drug.
ICD-10 code E56. 9 for Vitamin deficiency, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
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 .
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 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 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 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 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).