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82306

Vitamin D; 25 hydroxy, includes fraction(s), if performed

Pathology & Laboratory Clinical Chemistry 1.61 Total RVUs
Quick Reference
Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment

Relative Value Units (RVUs)

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Work RVU
0.10
Physician effort
PE RVU
1.50
Practice expense
MP RVU
0.01
Malpractice
Total RVU
1.61
Combined value
Dollar reimbursement rates vary by locality and payer. RVUs shown for relative comparison only.
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Clinical Information

When to Use

Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment

Time Requirement
Automated testing - results typically available within hours to days

Common Scenarios

Vitamin D deficiency screening
Vitamin D status assessment
Osteoporosis evaluation
Bone health assessment
Vitamin D monitoring

Documentation Requirements

  • Order from physician required
  • Test results documented
  • Normal/abnormal values reported
  • Clinical interpretation if applicable

Coding Guidelines

Common Modifiers

26 Professional component only (interpretation)
TC Technical component only (performance)
91 Repeat clinical diagnostic laboratory test, same day

Bundling Rules

  • Includes 25-hydroxyvitamin D and fractions if performed
  • May be billed with other vitamin tests on same day

Exclusions

  • Do not bill 1,25-dihydroxyvitamin D on same day unless separate indication

Coding Notes

Common vitamin D screening
Includes fractions if performed
Automated testing

Clinical scenarios

Vitamin D deficiency screening
Vitamin D deficiency screening
When to use:Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment
  • Order from physician required
  • Test results documented
  • Normal/abnormal values reported
Vitamin D status assessment
Vitamin D status assessment
When to use:Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment
  • Order from physician required
  • Test results documented
  • Normal/abnormal values reported
Osteoporosis evaluation
Osteoporosis evaluation
When to use:Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment
  • Order from physician required
  • Test results documented
  • Normal/abnormal values reported

Who are you?

Code Details

Code 82306
Category Pathology & Laboratory
Subcategory Clinical Chemistry
Total RVUs 1.61

Medicare Pricing

PFS
2025 National Rate
$0.00
Facility
$0.00
Non-Facility
$0.00
RVU Breakdown
Work RVU:0.00PE RVU:0.00MP RVU:0.00Total RVU:0.00CF:$32.3465Global Days:XXX
OPPS Details
Status:Q4Copayment:$0.00

National Limit: $29.60

Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code 82306?

CPT 82306 is the billing code for "Vitamin D; 25 hydroxy, includes fraction(s), if performed". Quantitative measurement of 25-hydroxyvitamin D level in blood for vitamin D status assessment

What are the RVUs for CPT 82306?

CPT 82306 has a total RVU of 1.61, broken down as: Work RVU 0.10, Practice Expense RVU 1.50, and Malpractice RVU 0.01. RVUs (Relative Value Units) determine Medicare reimbursement rates.

What documentation is required for CPT 82306?

Key documentation requirements for CPT 82306 include: Order from physician required; Test results documented; Normal/abnormal values reported; Clinical interpretation if applicable. Missing or incomplete documentation is a leading cause of claim denials for this code.

Can CPT 82306 be billed with other codes?

Bundling considerations for CPT 82306: Includes 25-hydroxyvitamin D and fractions if performed. May be billed with other vitamin tests on same day Use an NCCI bundling checker to verify specific code combinations before billing.

What modifiers are commonly used with CPT 82306?

Common modifiers for CPT 82306 include: 26 (Professional component only (interpretation)), TC (Technical component only (performance)), 91 (Repeat clinical diagnostic laboratory test, same day). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

What is the time requirement for CPT 82306?

The typical time requirement for CPT 82306 is Automated testing - results typically available within hours to days. Time-based codes require documentation of the actual time spent providing the service.

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