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Test Code VITDT VITAMIN D, 25-HYDROXY, TOTAL, SERUM

Important Note

Assay should not  be used for children less than 1 year of age. VIT25 (25-Hydroxyvitamin D2 and D3) is recommended for this population.

Performing Laboratory

NorDx Laboratories

Useful For

Assessing a patient’s Vitamin D status, evaluating hypo- and hypercalcemia, and investigating causes of osteomalacia.  Assay should not  be used for children less than 1 year of age. VIT25 (25-Hydroxyvitamin D2 and D3) is recommended for this population.

Method Name

Electrochemiluminescent Immunoassay (ECLIA)

Reference Values

Deficient: <13 ng/mL

Inadequate: 13-24 ng/mL

Sufficient: 25-50 ng/mL

Possibly harmful: >51 ng/mL

 

This is a suggested range according to the IOM/CDC 2011 guidelines, please interpret within the clinical context.

Days and Times Test Performed

Monday through Sunday

Report Available

1 Day

Specimen Type

Serum

Preferred Container

Serum Separator Tube (SST)

Preferred Volume

0.5 mL

Minimum Volume

0.1 mL

Specimen Collection and Handling

Spin specimen, separate from clot and send refrigerated.

Specimen Stability Information

Specimen Type: Serum

Frozen: 3 Months

Refrigerated: 4 Days

Room Temp: 8 Hours

Must be spun/separated within: 2 Hours

Add On Capable

Yes

Advance Beneficiary Notice Requirements

This test, when ordered on Medicare patients, is subject to the National Coverage Determination (NCD) policies. Please verify that the diagnosis code (ICD code) you have chosen demonstrates medical necessity for the test as documented in the physician’s patient record. The CMS web site is available to assist you with this verification. A properly executed Advance Beneficiary Notice (ABN) must be submitted with the specimen if medical necessity is not demonstrated by the ICD code chosen.

CPT Code Information

CPT Code

CPT Description

CPT Disclaimer

82306 Vitamin D, 25-Hydroxy, Quantitative  

Performing Laboratory Location

NorDx Laboratories

LOINC Code Information

62292-8

Clinical Significance

This test measures total 25-Hydroxy forms of Vitamin D (25OH -D2 plus 25OH-D3) circulating in the blood. This includes dietary and supplements of either 25OH-D2 or 25OH-D3, as well as 25OH-D3 produced through sun (UV-B) exposure.

 

Triglyceride and Cholesterol levels >300 mg/dL may falsely decrease 25-OH Vitamin D results.

Acceptable Alternative Container(s)

Plasma Separator Tube (PST)