Aetna considers measurements of serum 25-hydroxyvitamin D experimental, investigational, or unproven for routine preventive screening. CPT codes 0038U, 82306 and 82652 are covered if selection criteria are met, and ICD-10 codes covered if selection criteria are met include vitamin D deficiency (E55.0 to E55.9), chronic kidney disease (N18.1 to N18.9) and osteoporosis (M80.00xA to M81.8). ICD-10 codes not covered for the indications listed in the policy include malignant neoplasms of the breast (C50.011 to C50.929) and prostate (C61), diabetes mellitus (E08.00 to E13.9), Alzheimer's disease (G30.0 to G30.9) and screening encounters for malignant neoplasms (Z12.0 to Z12.9).
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01Billing team: Claims for CPT 0038U, 82306 and 82652 need documentation that the selection criteria in the policy are met, because these codes are covered only when those criteria are met.
02Billing team: Serum 25-hydroxyvitamin D measurement for routine preventive screening is considered experimental, investigational or unproven, so do not bill it as a covered service for that purpose.
03Billing team: For the ICD-10 codes listed as not covered for the indications in the policy, do not bill those indications as covered.
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