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

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

Also known as:

Vitamin D DeficiencyVitamin B12 Deficiency

Related ICD-10 Code Ranges

Complete code families applicable to Vitamin Disorder

E55-E64Primary Range

Nutritional deficiencies

This range includes codes for various 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 results and symptoms are present.
  • 25(OH)D level <20 ng/mL
  • Symptoms such as bone pain or muscle weakness
D51.9Vitamin B12 deficiency anemia, unspecifiedUse when B12 deficiency is confirmed by lab results and symptoms are present.
  • Low serum B12 levels
  • Symptoms such as fatigue or neurological issues

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 Disorder

The ICD-10 code for unspecified vitamin D deficiency is E55.9, used when lab results confirm deficiency and symptoms are present.

Primary ICD-10-CM Codes for vitamin disorder

Vitamin D deficiency, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of symptoms and lab results confirming deficiency

Applicable To

  • Hypovitaminosis D

Excludes

Clinical Validation Requirements

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

Code-Specific Risks

  • Using without lab confirmation can lead to denials.

Coding Notes

  • Ensure lab results 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 hormonal contraceptives

Z79.3
Use to indicate long-term vitamin D supplementation.

Differential Codes

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

Rickets, active

E55.0
Use E55.0 if rickets is present due to vitamin D deficiency.

Vitamin B12 deficiency anemia due to intrinsic factor deficiency

D51.0
Use D51.0 if intrinsic factor deficiency is confirmed.

Documentation & Coding Risks

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

Mitigation Strategy

Always include lab results in documentation., Verify lab results before coding.

Impact

Reimbursement: Claims may be denied without lab confirmation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data on vitamin deficiency prevalence.

Mitigation Strategy

Ensure lab results and symptoms are documented.

Impact

Risk of audit if lab results are not documented.

Mitigation Strategy

Ensure all 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 Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Vitamin Disorder

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

Vitamin D Deficiency Diagnosis

Specialty: Endocrinology

Required Elements

  • Patient symptoms
  • Lab results
  • Diagnosis
  • Treatment plan

Example Documentation

Patient presents with fatigue and muscle weakness. Lab results: 25(OH)D = 15 ng/mL. Diagnosis: Vitamin D deficiency (E55.9). Plan: Ergocalciferol 50,000 IU weekly.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Low vitamin D; recommend supplements.
Good Documentation Example
Fatigue, muscle weakness, 25(OH)D = 15 ng/mL. Diagnosis: Vitamin D deficiency (E55.9).
Explanation
The good example includes specific symptoms and lab results, supporting the diagnosis.

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

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