Laboratory Services
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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 |
| 252.1 Hypoparathyroidism | |
| 268.0 Rickets Active | |
| 268.2 Osteomalacia Unspecified | |
| 268.9 Unspecified Vitamin D Deficiency | |
| 275.3 Disorders of Phosphorus Metabolism | |
| 275.41 Hypocalcemia | |
| 275.42 Hypercalcemia | |
| 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 |
