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ICD-10 Coding for History of Vitamin D Deficiency(E55.9, Z87.898)

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

Also known as:

Vitamin D Deficiency HistoryResolved Vitamin D Deficiency

Related ICD-10 Code Ranges

Complete code families applicable to History of Vitamin D Deficiency

E55-E64Primary Range

Nutritional deficiencies

This range includes codes for vitamin D deficiency and its sequelae.

Personal history of other diseases and conditions

This range includes codes for personal history of resolved conditions, such as vitamin D deficiency.

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 present without specific cause or associated condition.
  • 25(OH)D level <20 ng/mL
  • Symptoms such as bone pain, muscle weakness
Z87.898Personal history of other specified conditionsUse when vitamin D deficiency has been resolved and is part of the patient's history.
  • Documented history of deficiency with current normal levels

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 history of vitamin D deficiency

Essential facts and insights about History of Vitamin D Deficiency

The ICD-10 code for a history of vitamin D deficiency is Z87.898, used when the deficiency has been resolved.

Primary ICD-10-CM Codes for history vitamin disorder deficiency

Vitamin D deficiency, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of symptoms and low 25(OH)D levels

documentation Criteria

  • Specific symptoms and lab results documented

Applicable To

  • Hypovitaminosis D

Excludes

Clinical Validation Requirements

  • 25(OH)D level <20 ng/mL
  • Symptoms such as bone pain, muscle weakness

Code-Specific Risks

  • Using E55 instead of E55.9 can lead to non-billable claims.

Coding Notes

  • Ensure lab results and symptoms are documented to support deficiency diagnosis.

Ancillary Codes

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

Adult osteomalacia due to malnutrition

M83.3
Use when osteomalacia is due to malnutrition, often with E55.9 as secondary.

Differential Codes

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

Rickets, active

E55.0
Use for active rickets, typically in children, with radiographic evidence.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting History of Vitamin D Deficiency 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, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials

Mitigation Strategy

Always include lab results in documentation, Use templates to ensure completeness

Impact

Reimbursement: Non-billable claims if E55 is used., Compliance: Non-compliance with specificity requirements., Data Quality: Inaccurate data on deficiency prevalence.

Mitigation Strategy

Use E55.9 for unspecified vitamin D deficiency.

Impact

Improper sequencing of deficiency and related codes can lead to audits.

Mitigation Strategy

Use coding guidelines to ensure correct sequencing.

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 History of Vitamin D Deficiency, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for History of Vitamin D Deficiency

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

Progress note for vitamin D deficiency

Specialty: Endocrinology

Required Elements

  • Subjective symptoms
  • Objective lab results
  • Assessment and plan

Example Documentation

**Subjective**: Reports fatigue and bone pain. **Objective**: 25(OH)D: 14 ng/mL. **Assessment**: Vitamin D deficiency. **Plan**: Supplementation.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has low vitamin D.
Good Documentation Example
Patient presents with fatigue and bone pain. 25(OH)D level is 14 ng/mL. Plan includes vitamin D supplementation.
Explanation
The good example includes specific symptoms and lab results, supporting the diagnosis.

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