Find information on Vitamin D 25-Hydroxy screening, including clinical documentation requirements, medical coding guidelines, and healthcare best practices. Learn about Vitamin D deficiency diagnosis, 25-hydroxyvitamin D test interpretation, and appropriate ICD-10 codes. This resource provides guidance for healthcare professionals on proper documentation and coding for Vitamin D 25-Hydroxy testing and related conditions. Explore resources for Vitamin D testing, lab results interpretation, and optimizing patient care related to Vitamin D levels.
Also known as
Vitamin D deficiency, unspecified
Covers unspecified vitamin D deficiency, often used for screening.
Other specified abnormal findings
May be used for abnormal vitamin D levels found during screening.
Person encountering health services
For encounters specifically for vitamin D screening or risk assessment.
Encounter for screening for other disorder
Use for screening for vitamin D deficiency not elsewhere classified.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is screening indicated by established risk factors?
Yes
Is the patient pregnant?
No
Is there a sign or symptom prompting the test?
When to use each related code
| Description |
|---|
| Vitamin D deficiency screening |
| Vitamin D deficiency |
| Vitamin D insufficiency |
Coding risk: Using unspecified screening codes when a more specific Vitamin D 25-hydroxy test was performed. Impacts reimbursement and data accuracy.
Audit risk: Lack of documentation supporting medical necessity for Vitamin D screening can lead to claim denials. CDI can improve documentation.
Coding risk: Confusing screening with other Vitamin D tests (e.g., 1,25-dihydroxy) leads to incorrect coding and potential compliance issues.
Patient presents for evaluation of vitamin D deficiency symptoms including fatigue, muscle weakness, and bone pain. Patient reports limited sun exposure and dietary intake of vitamin D rich foods. Family history is negative for osteoporosis or other bone disorders. Physical examination reveals no significant abnormalities. Assessment includes vitamin D 25-hydroxy screening to evaluate vitamin D levels. Differential diagnoses include osteomalacia, osteoporosis, secondary hyperparathyroidism, and malabsorption syndromes. Plan includes laboratory testing for 25-hydroxyvitamin D. Results will guide treatment recommendations which may include vitamin D supplementation, dietary counseling, and increased sun exposure. Patient education provided regarding the importance of vitamin D for bone health, immune function, and overall well-being. Follow-up appointment scheduled to discuss results and formulate a personalized treatment plan. ICD-10 code E55.9 Vitamin D deficiency unspecified will be utilized pending laboratory results. CPT code 82306 for Vitamin D 25-hydroxy assay will be billed accordingly. This documentation supports medical necessity for the vitamin D 25-hydroxy screening.