Vitamin D deficiency can occur when the normal intake is lower than recommended or during a period when sunlight is limited. Vitamin D deficiency can result from inadequate nutrition, impaired absorption, excessive consumption, increased need or increased excretion. It can also be due to the inability of the kidneys to convert vitamin D into its active form.
Okazaki (2007) points out that it is crucial in the differential diagnosis of rickets and osteomalacia to evaluate the content of circulating vitamin D metabolites. In a review of the diagnosis of Vitamin D metabolism disorders in osteomalacia, Scharla (2008) found that vitamin D deficiency can be confirmed by measuring serum concentrations of 25-OHD. Measurements of the serum 25-OHD are helpful for monitoring, therapy and aftercare when treating vitamin D deficiency with medications consisting of either vitamin D or vitamin D supplements.
Vitamin D insufficiency or deficiency can only be detected when serum 25 (OH) D is measured. Many other metabolites may also be present, but it is sufficient to assess the 25 (OHD) and 1.25 (OH)-2-D. Low or normal serum levels of 25 (OHd) do not cause rickets osteomalacia but can damage bone health. Obesity and associated chronic inflammation can contribute to adverse surgical results, poor healing and infection.
ICD 10 Codes For Vitamin D Deficiency
E559 is a billable ICD code used to indicate a diagnosis for reimbursement purposes. E559 is the calculable ICD code used to determine an unspecified diagnosis of vitamin D deficiency. The American I CD 10-CM version of E559 and the other international versions of ICD 10 (E559) differ slightly.
Diagnostic Related Groups Of ICD E55.9 (MS-DRG v38.0)
1. DRG 640
Definition of DRG 640: “Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc.” Read more here..
2. DRG 641
Definition of DRG 641: Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc. Read more here..
Vitamin D 1,25-dihydroxy-CPT code 82652 indicates a patient is to be examined for hypercalcemia or kidney failure. Vitamin D 12.5-dihydroxy CPT code 82652 is not an arrangement for adding vitamin D or 25-hydroxy vitamin D deficiency tests. If necessary, a vitamin D level of 1: 25 (OH) will be reimbursed within 24 hours if necessary.