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ICD-10 Coding for Hypervitaminosis D(E67.3)

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

Also known as:

Vitamin D ToxicityExcess Vitamin D

Related ICD-10 Code Ranges

Complete code families applicable to Hypervitaminosis D

E67.0-E67.9Primary Range

Other hyperalimentation

This range includes codes for hypervitaminosis conditions, with E67.3 specifically for hypervitaminosis D.

Key Information: ICD-10 code for hypervitaminosis D

Essential facts and insights about Hypervitaminosis D

The ICD-10 code for hypervitaminosis D is E67.3, used when lab tests confirm vitamin D toxicity with elevated 25(OH)D levels and hypercalcemia.

Primary ICD-10-CM Code for hypervitaminosis disorder

Hypervitaminosis D
Billable Code

Decision Criteria

clinical Criteria

  • 25(OH)D level >150 ng/mL and hypercalcemia.

documentation Criteria

  • Document source of vitamin D excess, such as supplements.

Applicable To

  • Vitamin D toxicity

Excludes

  • Vitamin D deficiency (E55.9)

Clinical Validation Requirements

  • 25(OH)D level >150 ng/mL
  • Serum calcium >10.5 mg/dL

Code-Specific Risks

  • Misdiagnosing hypercalcemia from other causes such as malignancy.

Coding Notes

  • Ensure documentation includes specific lab values and source of excess vitamin D.

Ancillary Codes

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

Abuse of vitamins

F55.4
Use when patient admits to unsupervised megadose supplementation.

Acute kidney injury

N17.9
Use for complications like elevated creatinine or nephrocalcinosis.

Differential Codes

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

Sarcoidosis

D86.2
Elevated ACE levels and granulomas on imaging.

Primary hyperparathyroidism

E21.3
Elevated PTH with normal/low 25(OH)D.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hypervitaminosis D to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code E67.3.

Impact

Clinical: Misdiagnosis of vitamin D toxicity., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Ensure lab results are included in the patient's record.

Impact

Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.

Mitigation Strategy

Use E55.9 for vitamin D deficiency.

Impact

Coding E67.3 without lab confirmation can trigger audits.

Mitigation Strategy

Always include lab results in documentation.

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

Documentation Templates for Hypervitaminosis D

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

Endocrinology Progress Note

Specialty: Endocrinology

Required Elements

  • Patient's supplement history
  • Lab results
  • Symptoms and clinical findings

Example Documentation

Patient reports daily intake of 10,000 IU cholecalciferol. Labs: 25(OH)D = 220 ng/mL, serum calcium = 12.1 mg/dL. Plan: Discontinue supplements, hydrate.

Examples: Poor vs. Good Documentation

Poor Documentation Example
High vitamin D, needs monitoring.
Good Documentation Example
25(OH)D 180 ng/mL (toxic) from daily 10,000 IU OTC vitamin D3 x 8 months. Serum calcium 11.8 mg/dL, Cr 1.6 mg/dL. Renal US: medullary nephrocalcinosis. Plan: Discontinue supplements, IV hydration, nephrology consult.
Explanation
The good example provides specific lab values, supplement history, and a detailed plan.

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

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