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ICD-10 Coding for Elevated Vitamin Disorders(E67.3, R79.89)

Complete ICD-10-CM coding and documentation guide for Elevated Vitamin Disorders. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hypervitaminosis DElevated B12 Levels

Related ICD-10 Code Ranges

Complete code families applicable to Elevated Vitamin Disorders

E67-E68Primary Range

Other hyperalimentation

Includes hypervitaminosis D as a primary condition.

Abnormal findings on examination of blood, without diagnosis

Includes elevated B12 levels as an abnormal finding.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E67.3Hypervitaminosis DUse when lab results confirm vitamin D toxicity with elevated calcium levels.
  • Serum 25(OH)D >150 ng/mL
  • Serum calcium >10.5 mg/dL
R79.89Other specified abnormal findings of blood chemistryUse when B12 levels are elevated without an underlying condition.
  • Serum B12 >950 pg/mL

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for elevated vitamin D

Essential facts and insights about Elevated Vitamin Disorders

The ICD-10 code for elevated vitamin D, specifically hypervitaminosis D, is E67.3. Use this code when lab results confirm vitamin D toxicity with elevated calcium levels.

Primary ICD-10-CM Codes for elevated vitamin disorder

Hypervitaminosis D
Billable Code

Decision Criteria

clinical Criteria

  • Presence of hypercalcemia and high vitamin D levels.

Applicable To

  • Vitamin D toxicity

Excludes

  • Vitamin D deficiency (E55.9)

Clinical Validation Requirements

  • Serum 25(OH)D >150 ng/mL
  • Serum calcium >10.5 mg/dL

Code-Specific Risks

  • Misclassification if calcium levels are not elevated.

Coding Notes

  • Ensure documentation specifies vitamin D levels and symptoms.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Hypercalcemia

E83.52
Use when hypercalcemia is present with hypervitaminosis D.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Vitamin D deficiency

E55.9
Use when vitamin D levels are low, not high.

Vitamin B12 deficiency anemia, unspecified

D51.9
Use when B12 levels are low and anemia is present.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Elevated Vitamin Disorders to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E67.3.

Impact

Clinical: Misdiagnosis risk., Regulatory: Potential audit issues., Financial: Incorrect billing and reimbursement.

Mitigation Strategy

Use specific lab values., Clarify symptoms and treatment.

Impact

Reimbursement: Incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Use E67.3 for hypervitaminosis D.

Impact

Inadequate documentation can lead to audit failures.

Mitigation Strategy

Ensure all lab results and clinical symptoms are documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Elevated Vitamin Disorders, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Elevated Vitamin Disorders

Use these documentation templates to ensure complete and accurate documentation for Elevated Vitamin Disorders. These templates include all required elements for proper coding and billing.

Hypervitaminosis D with complications

Specialty: Endocrinology

Required Elements

  • History of vitamin supplementation
  • Lab results
  • Symptoms
  • Clinical findings

Example Documentation

Patient reports fatigue and muscle weakness. Labs: Calcium 12.8 mg/dL, 25(OH)D 280 ng/mL. Diagnosis: Hypervitaminosis D.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has high vitamin D.
Good Documentation Example
Patient has 25(OH)D level 280 ng/mL with hypercalcemia.
Explanation
The good example provides specific lab values and symptoms.

Need help with ICD-10 coding for Elevated Vitamin Disorders? Ask your questions below.

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