Vitamin D,25-Hydroxy, Total

Message
Performing Lab: Central Lab, Sartell


Test Code
4583


Alias/See Also
Sunquest: VTD25, Vitamin D 25-OH


CPT Codes
82306

Preferred Specimen

0.2 mL Lithium Heparin Plasma (light green-top) tube


Minimum Volume
0.1 mL


Other Acceptable Specimens
 Serum (gold-top) tube


Instructions
Sartell ONLY
Order on separate accession number. May be combined with IPTH only.


Transport Temperature
Refrigerated


Specimen Stability


 Room temperature (3 days), Refrigerated (12 days), Frozen (3 months)


Methodology

 Chemiluminescent microparticle immunoassay (CMIA)

Setup Schedule
Daily


Report Available
Same Day


Reference Range
30-80 ng/mL
 


Clinical Significance
25-OH Vitamin D is the metabolite that is the most reliable clinical indicator of Vitamin D status. Vitamin D is a fat soluble steroid hormone that comes in two forms, vitamin D2 (ergocalciferol) and vitamin D3 (cholecalciferol). Vitamin D is synthesized from cholesterol upon skin exposure to UVB sunlight and through dietary intake. Vitamin D deficiency may be linked to chronic diseases such as cancer (prostate, breast, colon) as well as cardiovascular disease, osteoporosis, osteomalacia, and several autoimmune diseases. Diagnosis of Vitamin D Deficiency and related conditions such as Osteomalacia, Osteoporosis, Rickets as well as the diagnosis of Vitamin D overdose. Measurement of Vitamin D has become increasingly important in the management of patient with various disorders of calcium metabolism associated with neonatal hypocalcaemia, pregnancy, and post-menopausal osteoporosis.




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.