News for Physicians
Medicare places restrictions on Vitamin D testing
Medicare has recently modified its reimbursement policy for Vitamin D testing. Reimbursement for laboratory testing for patients with Medicare Part A insurance will now require a medically necessary ICD-9 diagnosis code. If a valid diagnosis code is not provided, your office will be called to provide a valid diagnosis code.
ICD-9 Codes that support Medical Necessity
ICD-9 Codes that will be rejected
|252.00 Hyperparathyroidism, Unspecified||V70.0 Office Visit (Preventative Health Care)|
|252.01 Primary Hyperparathyroidism||401.1 Hypertension Benign|
|252.02 Secondary Hyperparathyroidism, Non-Renal||780.79 Fatigue and malaise|
|252.08 Other Hyperparathyroidism||714.0 Rheumatoid Arthritis|
|268.0 Rickets Active|
|268.2 Osteomalacia Unspecified|
|268.9 Unspecified Vitamin D Deficiency|
|275.3 Disorders of Phosphorus Metabolism|
|585.3 Chronic Kidney Disease, Stage III (Moderate)|
|585.4 Chronic Kidney Disease, Stage IV (Severe)|
|585.5 Chronic Kidney Disease, Stage V|
|585.6 End Stage Renal Disease|
|588.81 Secondary Hyperparathyroidism (of renal origin)|
|733.00 Osteoporosis Unspecified|
|733.01 Senile Osteoporosis|
|733.02 Idiopathic Osteoporosis|
|733.03 Disuse Osteoporosis|
|733.09 Other Osteoporosis|
|733.90 Disorder of Bone and Cartilage Unspecified|
View the CMS policy by clicking here.
Please contact our Laboratory Client Services Department at (781) 979-3151 if you have any questions.
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