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


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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