ICD-10 Coding for Low Vitamin Disorder(E55.9, D51.9)
Complete ICD-10-CM coding and documentation guide for Low Vitamin Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Low Vitamin Disorder
E55-E64Primary Range
Nutritional deficiencies
This range includes codes for vitamin deficiencies, including Vitamin D and B12, which are primary concerns in low vitamin 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 but the specific cause is not documented. |
|
| D51.9 | Vitamin B12 deficiency, unspecified | Use when Vitamin B12 deficiency is diagnosed without a specified cause. |
|
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 low Vitamin D
Essential facts and insights about Low Vitamin Disorder
Primary ICD-10-CM Codes for low vitamin disorder
Decision Criteria
clinical Criteria
- Vitamin D level <20 ng/mL with symptoms
documentation Criteria
- Lack of specific cause documentation
Applicable To
- Vitamin D deficiency
Excludes
- Rickets (E55.0)
Clinical Validation Requirements
- Vitamin D level <20 ng/mL
- Symptoms such as bone pain or muscle weakness
Code-Specific Risks
- Risk of using unspecified code when more specific information is available.
Coding Notes
- Ensure lab values and symptoms are documented to support the use of E55.9.
D51.9 - Vitamin B12 deficiency, unspecified
Use when Vitamin B12 deficiency is diagnosed without a specified cause.
Applicable To
- Vitamin B12 deficiency
Excludes
- Pernicious anemia (D51.0)
Clinical Validation Requirements
- Vitamin B12 level <200 pg/mL
- Symptoms such as macrocytic anemia or glossitis
Coding Notes
Ensure lab values and symptoms are documented to support the use of D51.9.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Low Vitamin Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E55.9.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit failure., Financial: Potential for claim denials.
Mitigation Strategy
Ensure symptoms are documented alongside lab results., Use templates to guide comprehensive documentation.
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Increases risk of audit and non-compliance., Data Quality: Impacts the accuracy of clinical data.
Mitigation Strategy
Ensure documentation includes specific causes or conditions related to the deficiency.
Impact
High risk of audit if unspecified codes are used without supporting documentation.
Mitigation Strategy
Ensure documentation includes specific lab values and symptoms.
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 Low Vitamin Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Low Vitamin Disorder
Use these documentation templates to ensure complete and accurate documentation for Low Vitamin Disorder. These templates include all required elements for proper coding and billing.
Vitamin D deficiency in an adult
Specialty: EndocrinologyRequired Elements
- Chief complaint
- Past medical history
- Lab results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Low Vitamin Disorder? Ask your questions below.