ICD-10 Coding for Vitamin D 25-Hydroxy Deficiency(E55.0, E55.9)
Complete ICD-10-CM coding and documentation guide for Vitamin D 25-Hydroxy 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 25-Hydroxy Deficiency
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E55.0 | Rickets, active | Use when clinical and radiological evidence of rickets is present. |
|
| E55.9 | Vitamin D deficiency, unspecified | Use when vitamin D deficiency is confirmed but specific cause is not identified. |
|
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 deficiency
Essential facts and insights about Vitamin D 25-Hydroxy Deficiency
Primary ICD-10-CM Codes for vitamin disorder 25 hydroxy
Decision Criteria
clinical Criteria
- Presence of rachitic changes on X-ray
Applicable To
- Active rickets due to vitamin D deficiency
Excludes
- Hereditary rickets (E83.32)
Clinical Validation Requirements
- X-ray confirmation of rachitic changes
- 25(OH)D level <12 ng/mL
Code-Specific Risks
- Misdiagnosis without radiological evidence
Coding Notes
- Ensure radiological evidence is documented.
E55.9 - Vitamin D deficiency, unspecified
Use when vitamin D deficiency is confirmed but specific cause is not identified.
Applicable To
- Hypovitaminosis D
Excludes
- Rickets (E55.0)
Clinical Validation Requirements
- 25(OH)D level <20 ng/mL
Coding Notes
Document lab results confirming deficiency.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vitamin D 25-Hydroxy Deficiency to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E55.0.
Impact
Clinical: Inaccurate diagnosis and treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Ensure lab results are included in the patient's EHR, Train staff on documentation standards
Impact
Reimbursement: Potential claim denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient conditions.
Mitigation Strategy
Identify and code the specific cause of the deficiency.
Impact
Audits may focus on the presence of lab results to support deficiency diagnosis.
Mitigation Strategy
Ensure all lab results are documented and easily accessible.
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 Deficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vitamin D 25-Hydroxy Deficiency
Use these documentation templates to ensure complete and accurate documentation for Vitamin D 25-Hydroxy Deficiency. These templates include all required elements for proper coding and billing.
Vitamin D deficiency in primary care
Specialty: Primary CareRequired Elements
- Patient history
- Lab results
- Clinical symptoms
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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