ICD-10 Coding for Vitamin D Insufficiency(E55.9, E55.0)
Complete ICD-10-CM coding and documentation guide for Vitamin D Insufficiency. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Vitamin D Insufficiency
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| E55.9 | Vitamin D deficiency, unspecified | Use when Vitamin D deficiency is diagnosed without a specified cause. |
|
| E55.0 | Rickets, active | Use when rickets is diagnosed with supporting radiographic evidence. |
|
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 insufficiency
Essential facts and insights about Vitamin D Insufficiency
Primary ICD-10-CM Codes for vitamin disorder insufficiency
Decision Criteria
clinical Criteria
- 25-hydroxyvitamin D level <20 ng/mL
documentation Criteria
- Presence of symptoms such as bone pain or fatigue
Applicable To
- Hypovitaminosis D
Excludes
- Rickets (E55.0)
Clinical Validation Requirements
- 25-hydroxyvitamin D level <20 ng/mL
- Symptoms such as fatigue and bone pain
Code-Specific Risks
- Risk of undercoding if specific cause is known but not documented.
Coding Notes
- Ensure lab results and symptoms are documented to support the use of E55.9.
E55.0 - Rickets, active
Use when rickets is diagnosed with supporting radiographic evidence.
Applicable To
- Active rickets
Excludes
- Vitamin D deficiency, unspecified (E55.9)
Clinical Validation Requirements
- Radiographic growth plate abnormalities
- Hypophosphatemia
Coding Notes
Ensure radiographic evidence is documented to support the use of E55.0.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Osteoporosis with current pathological fracture
M80.8Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Vitamin D Insufficiency 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 decisions., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Ensure lab results and symptoms are documented., Review coding guidelines regularly.
Impact
Reimbursement: May result in denial of claims if not properly documented., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on Vitamin D deficiency prevalence.
Mitigation Strategy
Use Z13.228 for screening and document medical necessity.
Impact
Lack of lab results and symptoms can lead to audit issues.
Mitigation Strategy
Ensure thorough documentation of lab results and symptoms.
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 Insufficiency, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Vitamin D Insufficiency
Use these documentation templates to ensure complete and accurate documentation for Vitamin D Insufficiency. These templates include all required elements for proper coding and billing.
Endocrinology Progress Note
Specialty: EndocrinologyRequired Elements
- 25-hydroxyvitamin D level
- Symptoms
- Associated conditions
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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