Vitamin D Deficiency and Medicaid

[Rebecca Pate]

Since Medicaid does not accept any unspecified codes, and the only code available for Vitamin D Deficiency is unspecified (E55.9), what is everyone doing? Can we not ever use this for Medicaid? Any help would be appreciated.

 

[Rebecca Pate]

Anybody?

 

[thomas7331]

I've never heard that Medicaid does not accept any unspecified codes, but Medicaid plans do vary by state - which state are you finding this in? Is it perhaps unspecified CPT codes they don't accept, not ICD-10 codes? Unspecified ICD-10 are valid codes and sometimes the only code available for certain situations and should be accepted by all payers unless a particular LCD or payment policy limits payment for a service to just a specific list of codes that support medical necessity. I don't know of any payer that has an across-the-board policy of not accepting unspecified diagnosis codes.

diagnosis codes, diagnosis coding