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L33996 Vitamin D Assay Testing A56798 Billing and Coding: Vitamin D Assay Testing CGS
How do you know if you have low vitamin D?
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.
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.
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
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.
Encounter for screening for nutritional disorder The 2022 edition of ICD-10-CM Z13. 21 became effective on October 1, 2021.
According to the National Correct Coding Initiative (NCCI), free thyroxine (CPT® code 84439) is generally considered to be a better measure of the hypothyroid or hyperthyroid state than total thyroxine (CPT code 84436).
This notification is to inform you that for dates of service beginning June 1, 2016, for all commercial plans SelectHealth® will only cover CPT 82306 Vitamin D; 25 hydroxy, and CPT 82652 Vitamin D; 1, 25 dihydroxy consistent with the Centers for Medicare & Medicaid Services (CMS) guidelines, which provide coverage when ...
CPT code 83036 (Hemoglobin; glycosylated (A1c)) is typically used to report HbA1c independent of the method used when a single quantitative result is obtained. However, there is currently no analyte specific code for reporting HbA1c when a hemoglobin variant or HbF is present.
Code R53. 83 is the diagnosis code used for Other Fatigue. It is a condition marked by drowsiness and an unusual lack of energy and mental alertness. It can be caused by many things, including illness, injury, or drugs.
The majority of 25-OH vitamin D (25-D) in the circulation is derived from the conversion of 7-dehydrocholesterol in the skin that is irradiated with ultraviolet radiation in the UVB range (wavelength 290 nm to 315 nm). 1-5 The extent of vitamin D formation is not tightly controlled and depends primarily on the duration and intensity of the UV irradiation. Levels produced typically reach a plateau within 30 minutes of exposure. Unfortunately, use of a sunscreen with SPF as low as 15 reduces the rate of vitamin D production by 99.9%. Overproduction of vitamin D in the skin is prevented by the photosensitive conversion of vitamin D to tachysterol or lumisterol. Vitamin D is not very water-soluble, so it must be delivered to and carried in the blood as a complex with vitamin D-binding protein. Once in the circulation, vitamin D is metabolized to 25-hydroxy vitamin D (25-D) by the liver. The 25-D form of the hormone is the principle circulating reservoir in plasma and is generally the best indicator of overall vitamin D status. 25-D is further metabolized by the kidney to produce the biologically active form of vitamin D, 1,25-dihydroxy vitamin D (1,25-D). Renal production of 1,25-D is tightly controlled by parathyroid hormone and is important in the regulation of serum calcium homeostasis.
Many tissues and cells in the body have vitamin D receptors. 1-3 It has been estimated that the expression of as much as one third of the human genome is influenced by 1,25- (OH)2 vitamin D. Many studies have demonstrated an association of vitamin D deficiency with increased risk for:
The World Health Organization's International Agency for Research on Cancer (IARC) has concluded that there is a strong link between an individual's vitamin D levels and the risk of developing colorectal cancer. 5 Studies have also revealed that low vitamin D levels are associated with an increased incidence of other malignancies, including breast cancer. 8
Vitamin D plays an integral role in calcium homeostasis and the maintenance of healthy bone. Vitamin D stimulates the absorption of calcium at the level of the intestine and may also serve to increase calcium and phosphate resorption at the kidney level. Deficiency of vitamin D leads to the mobilization of calcium from bone, which can lead to osteoporosis, osteomalacia, and rickets. 1-3 Numerous recent studies have shown a strong association between diminished vitamin D levels and risk for falls 6 and for both vertebral and nonvertebral fractures. 7
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.