Wintertime Reminder: Vitamin D Testing

With winter’s shorter days and reduced sunlight, it’s natural to think about vitamin D levels—but it’s important to approach vitamin D testing thoughtfully. Vitamin D testing is covered only when medically necessary, focusing on individuals with specific signs, symptoms, or risk factors for deficiency.

Claims for vitamin D tests are reviewed at submission, and coverage depends on the diagnosis provided. Only diagnoses that meet the criteria outlined in medical policy 2.04.507 Testing Serum Vitamin D Levels are eligible. Before proceeding with testing, consider whether the individual meets these criteria to ensure appropriate and effective use of resources.