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ICD-10 Coding for Vitamin D Screening(E55.9)

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

Also known as:

Vitamin D Test25-Hydroxyvitamin D Test

Related ICD-10 Code Ranges

Complete code families applicable to Vitamin D Screening

E55-E64Primary Range

Nutritional deficiencies

This range includes codes for vitamin D deficiency and related conditions.

Disorders of bone density and structure

Includes codes for osteoporosis and osteomalacia, which may be related to vitamin D deficiency.

Key Information: ICD-10 code for vitamin D screening

Essential facts and insights about Vitamin D Screening

The ICD-10 code for vitamin D deficiency is E55.9, used when lab results confirm deficiency.

Primary ICD-10-CM Code for vitamin disorder screening

Vitamin D deficiency, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Low 25-OH vitamin D levels with clinical symptoms

Applicable To

  • Hypovitaminosis D

Excludes

Clinical Validation Requirements

  • 25-OH vitamin D level <20 ng/mL
  • Symptoms such as bone pain or muscle weakness

Code-Specific Risks

  • May require additional codes for underlying conditions.

Coding Notes

  • Ensure documentation supports the deficiency with lab values and symptoms.

Ancillary Codes

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

Age-related osteoporosis without current pathological fracture

M81.0
Use alongside E55.9 when osteoporosis is present.

Differential Codes

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

Rickets, active

E55.0
Use E55.0 for active rickets, characterized by bone deformities.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Vitamin D 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: Inaccurate diagnosis and treatment, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials

Mitigation Strategy

Always include lab results in documentation, Verify documentation completeness before submission

Impact

Reimbursement: Denial of claims for routine screenings., Compliance: Non-compliance with payer policies., Data Quality: Inaccurate data on patient health records.

Mitigation Strategy

Use E55.9 with appropriate clinical justification and supporting documentation.

Impact

High risk of denial for claims coded as routine screenings without medical necessity.

Mitigation Strategy

Document medical necessity clearly and use appropriate codes.

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

Documentation Templates for Vitamin D Screening

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

Vitamin D deficiency in osteoporosis patient

Specialty: Endocrinology

Required Elements

  • Patient history
  • Lab results
  • Treatment plan

Example Documentation

Patient presents with bone pain and low vitamin D levels. Plan includes high-dose vitamin D supplementation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low vitamin D. Start supplements.
Good Documentation Example
Patient with BMI 38.6 presents with diffuse bone pain. 25-OH vitamin D level 14 ng/mL. Plan: High-dose cholecalciferol.
Explanation
The good example includes specific lab values and a detailed treatment plan.

Need help with ICD-10 coding for Vitamin D Screening? Ask your questions below.

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