Does Cigna cover CPT 82306?

Does Cigna cover CPT 82306?

We created a new coverage policy and will reimburse claims for vitamin D testing billed with Current Procedural Terminology (CPT®) codes 82306 or 82652 when considered medically necessary, and for select population groups (under age 18 or over age 65, and pregnant women).

How does vitamin D show up on blood work?

Tests for Vitamin D Deficiency The most accurate way to measure how much vitamin D is in your body is the 25-hydroxy vitamin D blood test. A level of 20 nanograms/milliliter to 50 ng/mL is considered adequate for healthy people. A level less than 12 ng/mL indicates vitamin D deficiency.

Why does Cigna not cover vitamin D testing?

Cigna has issued a Coverage Policy change effective March 15, 2018, for Vitamin D testing. Vitamin D tests ordered without a supportive ICD-10 code will not satisfy medical necessity and therefore will not be covered by Cigna.

How often can 82306 be billed?

four times per year
25-OH Vitamin D-3 (82306) may be tested up to four times per year for Vitamin D deficiencies (268.0, 268.2–268.9).

Is 82306 covered by Medicare?

CPT 82180, 82306, 82607 – Assays for Vitamins and Metabolic Function, icd CODE. Medicare generally considers vitamin assay panels (more than one vitamin assay) a screening procedure and therefore, non-covered.

Is vitamin D test considered preventive?

The U.S. Preventive Services Task Force (Task Force) has issued a final recommendation statement on Screening for Vitamin D Deficiency in Adults. This final recommendation applies to adults who do not have signs or symptoms of vitamin D deficiency.

How much vitamin D should I take if I’m deficient?

We suggest that all adults who are vitamin D deficient be treated with 50,000 IU of vitamin D3 once a week for eight weeks or its equivalent of 6,000 IU of vitamin D3 daily to achieve a blood level of 25(OH)D above 30 ng/mL, followed by maintenance therapy of 1,500-2,000 IU/day.

How much does it cost to have your vitamin D levels checked?

On average, a vitamin D deficiency test can cost $50, typically covered by health insurance.

What diagnosis covers a vitamin D level?

Symptomatic = Vitamin D Toxicity (hypervitaminosis D) Testing vitamin D levels may be considered medically necessary when the patient presents with signs and symptoms of vitamin D toxicity (hypervitaminosis D).