ICD-10 Coding for Vitamin D Deficiency(E55.9, E55.0)
Complete ICD-10-CM coding and documentation guide for Vitamin D Deficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vitamin D Deficiency
E55-E64Primary Range
Nutritional deficiencies
This range includes codes for vitamin D deficiency and related nutritional disorders.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E55.9 | Vitamin D deficiency, unspecified | Use when vitamin D deficiency is diagnosed without specific complications like rickets. |
|
| E55.0 | Rickets, active | Use when rickets is confirmed by clinical and radiographic findings. |
|
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 hypovitaminosis D
Essential facts and insights about Vitamin D Deficiency
Primary ICD-10-CM Codes for hypovitaminosis disorder
Decision Criteria
clinical Criteria
- Serum 25(OH)D level <20 ng/mL with symptoms
documentation Criteria
- Include lab results and at least two symptoms
Applicable To
- Hypovitaminosis D
- Vitamin D deficiency NOS
Excludes
- Rickets (E55.0)
Clinical Validation Requirements
- Serum 25(OH)D level <20 ng/mL
- Presence of symptoms such as bone pain or muscle weakness
Code-Specific Risks
- Using without documented lab results
- Failing to specify symptoms
Coding Notes
- Ensure documentation includes specific lab values and symptoms.
E55.0 - Rickets, active
Use when rickets is confirmed by clinical and radiographic findings.
Applicable To
- Rickets due to vitamin D deficiency
Excludes
- Vitamin D deficiency without rickets (E55.9)
Clinical Validation Requirements
- Radiographic evidence of rickets
- Elevated alkaline phosphatase levels
Coding Notes
Ensure radiographic evidence is documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Long term (current) use of other agents
Z79.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vitamin D Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E55.9.
Impact
Clinical: Inadequate clinical picture, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure symptoms are clearly documented, Use standardized templates for documentation
Impact
Reimbursement: Claims may be denied without lab evidence., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Always include serum 25(OH)D levels in documentation.
Impact
Risk of audits due to insufficient documentation of vitamin D deficiency.
Mitigation Strategy
Ensure all lab values and 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 Vitamin D Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vitamin D Deficiency
Use these documentation templates to ensure complete and accurate documentation for Vitamin D Deficiency. These templates include all required elements for proper coding and billing.
Initial diagnosis of vitamin D deficiency
Specialty: EndocrinologyRequired Elements
- Serum 25(OH)D level
- Symptoms such as bone pain or muscle weakness
- Plan for supplementation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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