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ICD-10 Coding for Vitamin Deficiency Disorders(E55.9, D51.9)

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

Also known as:

HypovitaminosisVitamin D DeficiencyVitamin B12 DeficiencyVitamin Deficiency

Related ICD-10 Code Ranges

Complete code families applicable to Vitamin Deficiency Disorders

E50-E64Primary Range

Nutritional deficiencies

This range includes all nutritional deficiencies, including vitamin D and B12 deficiencies.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
E55.9Vitamin D deficiency, unspecifiedUse when vitamin D deficiency is confirmed by lab tests but the specific type is not specified.
  • 25-hydroxyvitamin D level <20 ng/mL
D51.9Vitamin B12 deficiency anemia, unspecifiedUse when B12 deficiency is confirmed by lab tests but the specific type is not specified.
  • Serum B12 <200 pg/mL with elevated methylmalonic acid (>0.4 µmol/L)

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 deficiency

Essential facts and insights about Vitamin Deficiency Disorders

The ICD-10 code for unspecified vitamin D deficiency is E55.9, used when lab tests confirm deficiency but do not specify the type.

Primary ICD-10-CM Codes for vitamin disorder deficiency

Vitamin D deficiency, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • 25-hydroxyvitamin D level <20 ng/mL

Applicable To

  • Hypovitaminosis D

Excludes

Clinical Validation Requirements

  • 25-hydroxyvitamin D level <20 ng/mL

Code-Specific Risks

  • Using without lab confirmation

Coding Notes

  • Ensure lab values are documented to support deficiency diagnosis.

Ancillary Codes

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

Long-term (current) use of other medications

Z79.899
Use when documenting long-term vitamin D supplementation.

Celiac disease

K90.0
Use when B12 deficiency is secondary to malabsorption.

Differential Codes

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

Rickets, active

E55.0
Use E55.0 when there is radiographic evidence of growth plate abnormalities.

Vitamin B12 deficiency anemia due to intrinsic factor deficiency

D51.0
Use D51.0 when intrinsic factor antibody testing is positive.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vitamin Deficiency Disorders 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 treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.

Mitigation Strategy

Always include specific lab values in documentation.

Impact

Reimbursement: May lead to denied claims if not supported by lab results., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Ensure lab tests confirm vitamin D deficiency before coding.

Impact

Coding without lab confirmation can trigger audits.

Mitigation Strategy

Ensure all deficiency diagnoses are supported by lab results.

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 Deficiency Disorders, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vitamin Deficiency Disorders

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

Vitamin D Deficiency Management

Specialty: Endocrinology

Required Elements

  • 25-hydroxyvitamin D level
  • Physical examination findings
  • Treatment plan

Example Documentation

1. Vitamin D Status: 25(OH)D: ___ ng/mL (Date: ___) 2. Bone Health: [ ] Sternal tenderness present 3. Treatment Plan: Cholecalciferol ___ IU daily (Start: ___)

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low vitamin D - start supplements
Good Documentation Example
25-hydroxyvitamin D 12 ng/mL (ref 30-100) with bilateral femoral tenderness. No malabsorption identified.
Explanation
The good example provides specific lab values and physical findings, supporting the diagnosis.

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