All PlansCoverageMedium impact
Vitamin D Testing
Blue Cross & Blue Shield of Mississippi·MS · Family Medicine, Internal Medicine, Endocrinology +5 more·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy establishes coverage criteria for vitamin D testing, allowing up to 4 tests per calendar year for specific high-risk conditions but excluding routine screening in asymptomatic patients. The policy was recently reviewed with no changes on 03/27/2025.
Action Required
Immediately: Billing team must ensure vitamin D testing claims include appropriate diagnosis codes from the covered conditions list and limit testing to maximum 4 times per calendar year per patient. Update billing edits to flag routine screening vitamin D tests in asymptomatic patients as non-covered. Train staff to verify medical necessity documentation supports one of the specified qualifying conditions before submitting claims.