ICD-10 Coding for Vitamin D 25-Hydroxy Screening(E55.9, E20.9)
Complete ICD-10-CM coding and documentation guide for Vitamin D 25-Hydroxy Screening. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vitamin D 25-Hydroxy Screening
E55-E64Primary Range
Nutritional deficiencies
This range includes vitamin D deficiency, which is the primary condition screened by the 25-hydroxy test.
Encounter for screening for other diseases and disorders
This range includes codes for screening encounters, although not typically used for vitamin D screening due to payer restrictions.
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 lab results confirm vitamin D deficiency and symptoms or risk factors are present. |
|
| E20.9 | Hypoparathyroidism, unspecified | Use when hypoparathyroidism is confirmed and vitamin D levels are low. |
|
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 vitamin D 25-hydroxy screening
Essential facts and insights about Vitamin D 25-Hydroxy Screening
Primary ICD-10-CM Codes for vitamin disorder 25-hydroxy screening
Decision Criteria
clinical Criteria
- 25-OH-D level <20 ng/mL with symptoms
coding Criteria
- Avoid using for routine screening without symptoms
Applicable To
- Hypovitaminosis D
Excludes
- Rickets (E55.0)
Clinical Validation Requirements
- 25-OH-D level <20 ng/mL
- Symptoms such as bone pain or fractures
Code-Specific Risks
- Incorrect use for routine screening without symptoms or risk factors.
Coding Notes
- Ensure documentation supports the presence of deficiency and related symptoms or risk factors.
E20.9 - Hypoparathyroidism, unspecified
Use when hypoparathyroidism is confirmed and vitamin D levels are low.
Excludes
- Pseudohypoparathyroidism (E20.1)
Clinical Validation Requirements
- Hypocalcemia with elevated PTH
- 25-OH-D level <30 ng/mL
Coding Notes
Document calcium and PTH levels to support coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other long term (current) drug therapy
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vitamin D 25-Hydroxy Screening 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 inappropriate testing or treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials.
Mitigation Strategy
Ensure documentation includes symptoms and lab results., Review payer policies for testing criteria.
Impact
Reimbursement: Claims may be denied for lack of medical necessity., Compliance: Non-compliance with payer policies., Data Quality: Inaccurate data on patient health status.
Mitigation Strategy
Use specific deficiency codes like E55.9 when symptoms or risk factors are present.
Impact
Frequent testing without documented necessity.
Mitigation Strategy
Limit testing to cases with documented symptoms or risk factors.
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 25-Hydroxy Screening, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vitamin D 25-Hydroxy Screening
Use these documentation templates to ensure complete and accurate documentation for Vitamin D 25-Hydroxy Screening. These templates include all required elements for proper coding and billing.
Patient with Crohn's disease and vitamin D deficiency
Specialty: GastroenterologyRequired Elements
- Patient history of Crohn's disease
- Symptoms of fatigue and bone pain
- Lab results showing 25-OH-D level <20 ng/mL
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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