New coverage determinations for Vitamin D testing

Beginning with March 1, 2022, dates of service, UnitedHealthcare will only cover Vitamin D screening CPT® codes 82306, 82652 or 0038U for UnitedHealthcare commercial and Individual Exchange plan members who are diagnosed with one of the listed diagnosis codes in the Coverage Determination Guideline. The state of Rhode Island is excluded from this. Medical policies are viewable on uhcprovider.com.

Vitamin D testing is unproven and not medically necessary for routine preventive screening due to insufficient evidence of efficacy. Vitamin D testing is proven and medically necessary for conditions or medical diagnoses associated with Vitamin D deficiency or risk of hypercalcemia. Please refer to the medical policy to see the Vitamin D diagnosis codes list under Applicable Codes.

Network providers were notified of this upcoming change on Jan. 1, 2022, with this UHCprovider.com update.

Please remind your clients that Vitamin D testing as part of preventive routine screening will no longer be covered.

Please contact your broker or UnitedHealthcare representative for more information.