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ICD-10 Guide
ICD-10 CodesE67.3

E67.3

Billable

Hypervitaminosis D

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E67.3 is a billable code used to indicate a diagnosis of hypervitaminosis d.

Key Diagnostic Point:

Hypervitaminosis D is a condition resulting from excessive intake of vitamin D, leading to elevated levels of calcium in the blood (hypercalcemia). This can occur due to excessive supplementation, certain medical conditions, or excessive dietary intake. Symptoms may include nausea, vomiting, weakness, frequent urination, and kidney stones. In severe cases, it can lead to calcification of soft tissues and organs, which can be life-threatening. The condition is particularly concerning in individuals with obesity, as they may have altered metabolism and storage of fat-soluble vitamins, including vitamin D. Obesity can complicate the management of hypervitaminosis D due to associated comorbidities such as diabetes, hypertension, and cardiovascular disease. Weight management strategies, including dietary modifications and physical activity, are essential in addressing both obesity and hypervitaminosis D. Clinicians must carefully monitor vitamin D levels and calcium levels in patients with obesity to prevent complications and ensure effective treatment.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between vitamin D deficiency and hypervitaminosis D.
  • Understanding the various sources of vitamin D (dietary, supplemental, and endogenous).
  • Recognizing the interplay between obesity and vitamin D metabolism.
  • Documenting the specific cause of hypervitaminosis D (e.g., supplementation vs. medical condition).

Audit Risk Factors

  • Inadequate documentation of vitamin D levels.
  • Failure to specify the cause of hypervitaminosis D.
  • Lack of evidence for dietary intake or supplementation history.
  • Insufficient linkage between obesity and hypervitaminosis D.

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Thorough documentation of vitamin D levels, supplementation history, and any related metabolic disorders.

Common Clinical Scenarios

Patients presenting with symptoms of hypercalcemia, obesity-related metabolic disorders, or vitamin D supplementation.

Billing Considerations

Endocrinologists should ensure that all relevant lab results and patient history are documented to support the diagnosis.

Nutrition

Documentation Requirements

Detailed dietary assessments and recommendations regarding vitamin D intake.

Common Clinical Scenarios

Patients seeking dietary advice for weight management and vitamin D optimization.

Billing Considerations

Nutritionists should document dietary sources of vitamin D and any supplementation to provide a comprehensive view of the patient's intake.

Coding Guidelines

Inclusion Criteria

Use E67.3 When
  • According to ICD
  • 10 guidelines, E67
  • 3 should be used when there is clear documentation of hypervitaminosis D, with specific mention of the cause and any associated complications
  • It is important to ensure that the diagnosis is supported by laboratory results

Exclusion Criteria

Do NOT use E67.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

80048CPT Code

Comprehensive metabolic panel

Clinical Scenario

Used to assess electrolyte levels, including calcium, in patients suspected of hypervitaminosis D.

Documentation Requirements

Document the reason for the metabolic panel, including symptoms and history of vitamin D intake.

Specialty Considerations

Endocrinologists should ensure that all relevant lab results are included in the patient's record.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like hypervitaminosis D, improving the accuracy of diagnoses and treatment plans. This specificity helps in better tracking of health outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like hypervitaminosis D, improving the accuracy of diagnoses and treatment plans. This specificity helps in better tracking of health outcomes and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like hypervitaminosis D, improving the accuracy of diagnoses and treatment plans. This specificity helps in better tracking of health outcomes and resource allocation.

Resources

Clinical References

  • •
    Hypervitaminosis D - Clinical Guidelines

Coding & Billing References

  • •
    Hypervitaminosis D - Clinical Guidelines

Frequently Asked Questions

What are the common causes of hypervitaminosis D?

Common causes include excessive supplementation, certain medical conditions that affect vitamin D metabolism, and high dietary intake of vitamin D-rich foods.

How is hypervitaminosis D diagnosed?

Diagnosis is typically made through blood tests that measure serum calcium and 25-hydroxyvitamin D levels, along with a thorough patient history.