The ICD-10-CM is a catalog of diagnosis codes used by medical professionals for medical coding and reporting in health care settings. The Centers for Medicare and Medicaid Services (CMS) maintain the catalog in the U.S. releasing yearly updates.
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
Sequelae of unspecified nutritional deficiency
4. Assays of the appropriate vitamin D levels for ICD-10 codes E55. 0, E55.
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
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.
This LCD outlines the indications for vitamin D, 25-hydroxy (CPT code 82306). This test is appropriate for assessment of vitamin D deficiency.
2: Polycystic ovarian syndrome.
Other specified abnormal findings of blood chemistryICD-10 code R79. 89 for Other specified abnormal findings of blood chemistry is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
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.
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.
On average, a vitamin D deficiency test can cost $50, typically covered by health insurance.
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).
There are two possible forms of vitamin D in the human body: vitamin D2 and vitamin D3. Both D2 and D3 are simply called “vitamin D,” so there's no meaningful difference between vitamin D3 and just vitamin D.
Symptoms of vitamin D deficiency can include muscle weakness, pain, fatigue and depression. To get enough D, look to certain foods, supplements, and carefully planned sunlight.
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.
clinical diagnostic laboratory tests when your doctor or provider orders them. You usually pay nothing for Medicare-approved clinical diagnostic laboratory tests. Laboratory tests include certain blood tests, urinalysis, tests on tissue specimens, and some screening tests.