ArticleActive
Billing and Coding: Vitamin D Assay Testing
A57484
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: October 1, 2024
Updated: December 31, 2025
Policy Summary
Billing for Vitamin D assay testing is payable under Medicare Part B when performed in specified places of service (office, independent clinic, FQHC, independent lab). Claims must include a valid diagnosis and, when applicable, the referring/ordering provider's name and NPI; tests may be subject to NCCI and OPPS edits and providers must follow CMS claims processing guidance when submitting claims.
Coverage Criteria Preview
Key requirements from the full policy
"Vitamin D assay testing is payable under Medicare Part B when performed in an office (POS 11), independent clinic (POS 49), Federally Qualified Health Center (POS 50), or independent laboratory (PO..."
Sign up to see full coverage criteria, indications, and limitations.