Understand low vitamin D levels diagnosis, symptoms, and treatment. Find information on vitamin D deficiency ICD-10 codes (E55.9), lab tests (25-hydroxyvitamin D), clinical documentation requirements, and best practices for healthcare professionals. Learn about vitamin D supplementation, recommended daily intake, and managing vitamin D deficiency for optimal patient care. Explore resources for accurate medical coding and billing related to hypovitaminosis D.
Also known as
Vitamin D deficiency
Unspecified vitamin D deficiency.
Nutritional deficiencies
Unspecified nutritional deficiency, not elsewhere classified.
Disorders of bone density and structure
Includes conditions like osteoporosis, often linked to low vitamin D.
Abnormalities of calcium metabolism
Low calcium levels can be a consequence of vitamin D deficiency.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the low Vitamin D due to a dietary cause?
Yes
Code E55.9 Vitamin D deficiency, unspecified
No
Is it due to malabsorption?
When to use each related code
| Description |
|---|
| Low Vitamin D |
| Vitamin D Deficiency |
| Osteomalacia |
Using unspecified vitamin D deficiency codes (e.g., E55.9) when a more specific code is documented, impacting reimbursement and data accuracy. Medical coding, CDI, healthcare compliance.
Insufficient documentation of vitamin D level test results or clinical indicators to support the diagnosis, leading to audit denials. Medical coding, CDI, vitamin D deficiency diagnosis.
Coding low vitamin D based on symptoms alone without confirmatory lab results. Medical coding, CDI, healthcare compliance, vitamin D deficiency diagnosis coding.
Patient presents with complaints consistent with vitamin D deficiency, including fatigue, muscle weakness, bone pain, and depressed mood. Symptoms onset reported as gradual over the past [timeframe]. Patient reports limited sun exposure and dietary intake of vitamin D-rich foods. Physical examination reveals [relevant findings, e.g., musculoskeletal tenderness, proximal muscle weakness]. Laboratory results confirm low vitamin D levels, with 25-hydroxyvitamin D concentration of [numeric value] ngmL, indicating [severity, e.g., vitamin D insufficiency or deficiency]. Diagnosis of vitamin D deficiency (ICD-10 code E55.9) is established based on patient symptoms, physical exam findings, and confirmatory laboratory results. Differential diagnoses considered include osteomalacia, osteoporosis, and secondary hyperparathyroidism. Plan includes initiating vitamin D supplementation with [dosage and frequency] of [vitamin D formulation, e.g., cholecalciferol] to correct deficiency and alleviate symptoms. Patient education provided regarding the importance of vitamin D, dietary sources, and sun exposure recommendations. Follow-up appointment scheduled in [timeframe] to monitor response to therapy and reassess vitamin D levels. Prognosis is good with appropriate supplementation and adherence to treatment plan. Medical coding includes vitamin D testing (CPT code 82306) and office visit (appropriate EandM code based on complexity).