Vitamin D, 25-Hydroxy

Message
Vitamin D: when not otherwise specified, order a VD25H.  This test code is a Vitamin D level done in CHOMP chemistry.                   
(The exception is if the doctor specifies a specific Vitamin D, such as 1-25 OH, then order the send-out as requested)


Test Code
LAB535


Alias/See Also
VD25H; 25(OH)D3; Calcidiol


CPT Codes
82306

Instructions
Routine venipuncture Collect one 5ml gold top serum separator tube


Specimen Stability
Refrigerated


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Failure to follow collection and storage instructions. Gross Hemolysis, Lipemia or Icterus.


Methodology
Chemiluminescent immunoassay

Setup Schedule
 Daily


Report Available
Within 24 hours


Limitations
Ordering Recommendation: Use to diagnose vitamin D insufficiency and monitor response to vitamin D therapy. Testing is recommended only for patients at risk for vitamin D insufficiency.


Reference Range
Vitamin D Status Vitamin D, 25-Hydroxy Deficiency < 10 ng/mL Insufficiency 10-29 ng/mL Sufficiency 30-100 ng/mL Toxicity >100 ng/mL


Clinical Significance
Vitamin D occurs in 2 forms: vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol). Vitamin D3 is obtained from foods of animal origin and from ultraviolet light-stimulated conversion of 7-dehydrocholesterol in the skin, whereas small amounts of vitamin D2 are obtained from foods of plant origin. Both forms of the vitamin are used to fortify various foods and in over-the-counter supplements "


Additional Information
LMRP_Vitamin_D_L36692


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.