82306VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED 82652VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED ICD-10 Codes Description A15.0 Tuberculosis of lung A15.4 Tuberculosis of intrathoracic lymph nodes A15.5 Tuberculosis of larynx, trachea and bronchus A15.6 Tuberculous pleurisy A15.7 Primary respiratory tuberculosis A15.8 Other respiratory tuberculosis A17.0 Tuberculous meningitis A17.1 Meningeal tuberculoma A17.81 Tuberculoma of brain and spinal cord A17.82 Tuberculous meningoencephalitis A17.83 Tuberculous neuritis A17.89 Other tuberculosis of nervous system A17.9 Tuberculosis of nervous system, unspecified A18.01 Tuberculosis of spine A18.02 Tuberculous arthritis of other joints A18.03 Tuberculosis of other bones A18.09 Other musculoskeletal tuberculosis A18.10 Tuberculosis of genitourinary system, unspecified A18.11 Tuberculosis of kidney and ureter A18.12 Tuberculosis of bladder A18.13 Tuberculosis of other urinary organs A18.14 Tuberculosis of prostate A18.15 Tuberculosis of other male genital organs A18.16 Tuberculosis of cervix A18.17 Tuberculous female pelvic inflammatory disease A18.18 Tuberculosis of other female genital organs A18.2 Tuberculous peripheral lymphadenopathy A18.31 Tuberculous peritonitis A18.32 Tuberculous enteritis A18.39 Retroperitoneal tuberculosis A18.4 Tuberculosis of skin and subcutaneous tissue A18.50 Tuberculosis of eye, unspecified A18.51 Tuberculous episcleritis A18.52 Tuberculous keratitis A18.53 Tuberculous chorioretinitis A18.54 Tuberculous iridocyclitis A18.59 Other tuberculosis of eye A18.6 Tuberculosis of (inner) (middle) ear A18.7 Tuberculosis of adrenal glands A18.81 Tuberculosis of thyroid gland A18.82 Tuberculosis of other endocrine glands A18.83 Tuberculosis of digestive tract organs, not elsewhere classified A18.84 Tuberculosis of heart A18.85 Tuberculosis of spleen Group 1 Codes: ICD-10 Codes that Support Medical Necessity Group 1 Paragraph: Note: ICD-10 codes must be coded to the highest level of specificity.
Vitamin D deficiency. The 2019 edition of ICD-10-CM E55 became effective on October 1, 2018. This is the American ICD-10-CM version of E55 - other international versions of ICD-10 E55 may differ.
Clinical Significance: Measurement of serum 25-OH vitamin D concentrations provide a good index of circulating vitamin D activity in patients not suffering from renal disease. 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.
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
Only one 25 OH Vitamin D level will be reimbursed in any 24 hour period. Patients with conditions outlined in the indications (acute and high risk conditions associated with Vitamin D deficiency) are candidates for testing. Consider repeat testing in 3-4 months after starting replacement therapy and reassessing if levels < 30 ng/mL (75 nmol/L).
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 amount of 25-hydroxyvitamin D in your blood is a good indication of how much vitamin D your body has. The test can determine if your vitamin D levels are too high or too low. The test is also known as the 25-OH vitamin D test and the calcidiol 25-hydroxycholecalcifoerol test.
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.
Reference ranges for 1,25(OH)2 D are as follows : Males: 18-64 pg/mL. Females: 18-78 pg/mL.
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.
ICD-10 code E55. 9 for Vitamin D deficiency, unspecified is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
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.
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
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] ...
Low vitamin D can cause a range of problems. In children, a vitamin D deficiency can cause rickets, which occurs when the bones become soft and bend. In adults, low vitamin D can lead to osteomalacia, which causes bone weakness and pain.
Vitamin deficiencies are traditionally checked through blood tests. While saliva tests are also available, these may not be as accurate . This is why all of our selections rely on blood samples via finger-pricking collections.
II. Serum concentration of 25 hydroxyvitamin D (25OHD) is the optimal clinical indicator of vitamin D metabolism due to the rapid conversion of vitamin D to 25 OHD with only a small fraction converted to 1,25 hydroxyvitamin D (1, 25 OHD).
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.
The Endocrine Society Task Force for Evaluation, Treatment and Prevention of Vitamin D deficiency (2011) recommended screening for vitamin D deficiency in individuals at risk for deficiency. The Task Force did not recommend population screening for vitamin D deficiency in individuals who are not at risk (high quality evidence).
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.
The USPSTF recommends against daily supplementation with 400 IU or less of vitamin D3 and 1,000 mg or less of calcium for the primary prevention of fractures in non-institutionalized postmenopausal women. (Grade: D Recommendation).
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.
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.
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.
Patients with Vitamin D deficiency that have been supplemented to normal levels are limited to one test per year.
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.