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
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Why ICD-10 codes are important
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 for Vitamin D deficiency is a medical classification as listed by WHO under the range - Endocrine, nutritional and metabolic diseases .
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
ICD-10 | Vitamin D deficiency, unspecified (E55. 9)
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 .
Vitamin D deficiency can lead to a loss of bone density, which can contribute to osteoporosis and fractures (broken bones). Severe vitamin D deficiency can also lead to other diseases. In children, it can cause rickets. Rickets is a rare disease that causes the bones to become soft and bend.
Generally, Medicare Part D doesn't cover vitamin supplements, as mentioned above. But Medicare Prescription Drug Plans that have “enhanced alternative coverage” included in their benefits might cover some vitamins and supplements.
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.
Group 1CodeDescription82306VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED82652VITAMIN D; 1, 25 DIHYDROXY, INCLUDES FRACTION(S), IF PERFORMED