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Vitamin D testing policies now in effect

July 29, 2016

Vitamin D, also known as calciferol, is a fat-soluble vitamin that has a variety of physiologic effects, most prominently in calcium homeostasis and bone metabolism. Providers are reminded there should be a direct medical need or indication for testing of vitamin D serum levels. Therefore, routine testing for vitamin D deficiency in healthy adults and children is not indicated according to evidence-based reviews or clinical practice guidelines from organizations that include, but are not limited to, the U.S. Preventive Services Task Force.

Vitamin D testing

The following policies, effective as of August 1, 2016, were developed by Independence to communicate the medically necessary uses for vitamin D testing:

  • Commercial: #06.02.51: Testing Serum Vitamin D Levels
  • Medicare Advantage: #MA06.031: Vitamin D Assay Testing

To view these policies, visit our Medical Policy Portal. Select Accept and Go to Medical Policy Online, and then select the Commercial or Medicare Advantage tab from the top of the page, depending on the version of the policy you would like to view. Then type the policy name or number in the Search field.

When clinically appropriate, Independence-participating laboratories are capable of performing vitamin D testing. If you have any questions about participating laboratories, please contact your Network Coordinator.


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