vitamin D levels repeat after 3-6 months on recommended replacement therapy. 7 Whilst on maintenance vitamin D doses recheck bone profile and vitamin D levels if symptoms suggestive of vitamin D toxicosis or hypercalcaemia (confusion, polyuria, polydipsia, anorexia, vomiting or muscle weakness) are present.
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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.
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.
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.
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.
Low vitamin D levels can cause health problems, such as rickets and osteomalacia. A 25-hydroxy vitamin D test can help someone determine whether they have a deficiency or are at risk of developing one. It is possible to get enough vitamin D by going outside in the sunlight each day.
Lower than normal 25-OH vitamin D levels can result from a dietary deficiency, poor absorption of the vitamin or impaired metabolism of the sterol in the liver. A 25-OH vitamin D deficiency can lead to bone diseases such as rickets and osteomalacia. Above normal levels can lead to hypercalcemia.
ICD-10 | Vitamin D deficiency, unspecified (E55. 9)
CPT 82652 Vitamin D; 1,25 Dihydroxy is determined to be medically necessary by SelectHealth commercial plans or SelectHealth Advantage only when it is ordered for patients with one of the conditions listed above.
9: Vitamin D deficiency, unspecified.
Reimbursement is not allowed for routine screening for vitamin D deficiency with serum testing in asymptomatic individuals and/or during general encounters. Vitamin D is an important nutrient that helps the body absorb calcium and maintain adequate bone strength.
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.
On average, a vitamin D deficiency test can cost $50, typically covered by health insurance.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
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.
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.