Vitamin D deficiency, unspecified
- E55.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
- The 2023 edition of ICD-10-CM E55.9 became effective on October 1, 2022.
- This is the American ICD-10-CM version of E55.9 - other international versions of ICD-10 E55.9 may differ.
What is the ICD 10 code for vitamin D deficiency?
D deficiency in a given patient and/or is improved by Vit. D administration, coders should use: ICD-10 E55.9 UNSPECIFIED VITAMIN D DEFICIENCY.This code should not be used for any other indication. All ICD-10-CM codes not listed in this policy under ICD-10-CM Codes that Support Medical Necessity above.
What is included in the evaluation of vitamin D levels?
Evaluation of vitamin D levels is done by measuring the level of 25-hydroxyvitamin D. Medical coding services for Vitamin D deficiency involve coding to the highest level of specificity to report medically necessary screening for Vitamin D deficiency.
What is the purpose of a diagnosis code?
* The diagnosis code information is provided as a convenience to physicians and office staff. Diagnosis codes must be applicable to the patient's symptoms or conditions and must be consistent with documentation in the patient's medical record.
What are the diagnostic codes for Quest Diagnostics?
Diagnosis codes must be applicable to the patient's symptoms or conditions and must be consistent with documentation in the patient's medical record. Quest Diagnostics does not recommend any diagnosis codes and will only submit diagnosis information provided by the ordering physician, or his/her designated staff.
Why do contractors need to specify revenue codes?
Is CDT a trademark?
Can you use CPT in Medicare?
Does CMS have a CDT license?
See 1 more
About this website
What diagnosis will cover vitamin D level?
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.
What ICD-10 code pays for vitamin D?
E55. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
What diagnosis code covers vitamin D for Medicare?
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.
Is vitamin D screening covered by insurance?
The U.S. National Institutes of Health (NIH) has recommended vitamin D supplementation for Americans based on age (600 IU per day for ages 1 to 70 years of age). Testing for vitamin D levels is covered when a person has signs or symptoms of vitamin D deficiency or risk factors for vitamin D deficiency.
What does ICD-10 code E55 9 mean?
ICD-10 code: E55. 9 Vitamin D deficiency, unspecified.
Does Medicare cover vitamin D testing?
Medicare considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered.
How often can 82306 be billed?
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).
What is the ICD-10 code Z79 899?
ICD-10 code Z79. 899 for Other long term (current) drug therapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
What diagnosis covers CPT 84443?
Answer: The correct code for the lab test is 84443 (Thyroid stimulating hormone [TSH]).
What is the diagnosis code for screening for vitamin D deficiency?
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 .
Is vitamin D test preventive?
The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening for Vitamin D Deficiency in Adults. This final recommendation applies to adults who do not have signs or symptoms of vitamin D deficiency.
What diagnosis covers CPT 82607?
Vitamin B-12 (82607) and folate (82746) can be tested up to four times per year for malabsorption syndromes (K90. 9) or deficiency disorders (D81. 818, D81. 819, E53.
What CPT code covers vitamin D?
This LCD outlines the indications for vitamin D, 25-hydroxy (CPT code 82306). 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.
How often will Medicare pay for a vitamin D blood test?
Patients with Vitamin D deficiency that have been supplemented to normal levels are limited to one test per year.
Is vitamin D covered by Medicare Part D?
Most prescription vitamins, including vitamin D2 and D3, and minerals. Medicare Part D does cover prenatal vitamins, fluoride and vitamin D analogs, such as calcitriol, doxercalciferol and paricalcitol.
Does Medicare pay CPT 82306?
CPT 82180, 82306, 82607 – Assays for Vitamins and Metabolic Function, icd CODE. Medicare generally considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered.
0143-Vitamin D Assay Testing: Medical Necessity and Documentation ...
Description Vitamin D lab assay is only reimbursable under Medicare when it meets the indications under the applicable LCD and not as a routine screening according to 42 CFR 410.32(a) Affected Code(s) 82306, 82652 Applicable Policy References
Does Medicare Cover Vitamin D Testing?
Routine tests are a fundamental part of preventive care and health management. However, additional screenings and lab work may be ordered by your physician if deemed medically necessary.
LCD - Vitamin D Assay Testing (L37535) - Centers for Medicare ...
Summary of Evidence. Routine use of laboratory assays to document Vitamin D deficiency remains controversial. The current United States Preventive Health Service Task Force recommendations consider current medical evidence insufficient to assess the balance of benefits and harms of screening for Vitamin D deficiency in asymptomatic adults.
ICD 10 code for vitamin d deficiency E55.9, D51
ICD10 code for Vitamin D deficiency. E20.0 Idiopathic hypoparathyroidism E20.8 Other hypoparathyroidism E20.9 Hypoparathyroidism, unspecified E21.0 -E21.3 Hyperparathyroidism and other disorders of parathyroid gland (code range)
Vitamin D Assay Testing Local Coverage Determination - Sonora Quest
Medicare Limited Coverage Tests – Covered Diagnosis Codes Source: Noridian Solutions, LLC Vitamin D Assay Testing effective January 21, 2019
Medical Policy Vitamin D Assay Testing - Blue Cross Blue Shield of ...
2 • Vitamin D deficiency on replacement therapy related to a condition listed above; to monitor the efficacy of treatment. Measurement of 1, 25-OH Vitamin D (CPT 82652) level is considered MEDICALLY NECESSARY for patients with any of the following conditions: • Unexplained hypercalcemia (suspected granulomatous disease or lymphoma)
What is the ICd 10 code for vitamin D deficiency?
E55.9* 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.
What is the recommended level of vitamin D for repeat testing?
If Vitamin D level is between 20 and 50 ng/ml and patient is clinically stable, documentation in the patient's medical record for repeat testing must clearly indicate the necessity of the test.
Can you use CPT in Medicare?
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of CMS internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Why do contractors need to specify revenue codes?
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.
Is CDT a trademark?
These materials contain Current Dental Terminology (CDT TM ), copyright © 2020 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
Does CMS have a CDT license?
Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license.
What is the best indicator of vitamin D deficiency?
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.
How many people have vitamin D deficiency?
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
What are the health problems that can be caused by vitamin D deficiency?
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.
What is the role of vitamin D in the body?
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.
Where does vitamin D2 come from?
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.
Does Medicare cover osteoporosis?
In accordance with these guidelines, private payers and Medicare offer coverage for patients with conditions that put them at risk for deficiency, including obesity, osteoporosis, and long-term treatment with corticosteroids and anti-seizure medications.
Does Medicare cover vitamin D?
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.
Why do contractors need to specify revenue codes?
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.
Is CDT a trademark?
These materials contain Current Dental Terminology (CDT TM ), copyright © 2020 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
Can you use CPT in Medicare?
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of CMS internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.
Does CMS have a CDT license?
Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license.
