I may have remembered, incorrectly, that Viata Lady's suggested lab test recommendations did not make the transition to the new web page format., I had saved it so here it is for any DS'er who needs it. Please note: the diagnosis codes that are listed are no longer valid. These are ICD-9-CM, which has been retired. ICD-10-Codes must be used. If anyone knows the newer codes, please feel free to add to this post. I'll try to find them but can't guarantee they'll be accurate. (This list was created when ICD-9-CM was in use. ICD-10-CM was implemented shortly after I retired my medical coding job.
Not to be construed as medical advice. This list includes labs we have performed as gastric bypass patients. www.Vitalady.com
1st Group (Every 3 to 6 months for life, as we are able)
* 8005 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) 10231)
* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
* 84100 Phosphorous – Inorganic: (718)
* 84550 Uric Acid: (905)
* 85025 Hemogram with platelets: (1759)
* 83550 Ferritin: (457)
* 84446 Vitamin A: (921)
* 84052 Vitamin B-1: (Thiamin) (4052)
* 7065 Vitamin B-12 & Folate: (82607; 82746)
* 83937 Osteocalcin:
* 85610 PT:
* 86141 C Reactive Protein
* 84134 Pre-albumin:
* 10256 Hep panel: includes ALT (SPGT) & GGT)
* 83735 Magnesium:
* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)
* 7573 Iron: TIBC, % sat
* 84630 Zinc: (945)
* 8230 Vitamin D: (25-hydroxy) (680)
* 84207 Vitamin B-6: (Pyridoxine)
* 83970 Serum intact: PTH (Parathyroid Hormone)
* 84597 Vitamin K:
* 85730 PTT:
2ND GROUP (Annually, as long as the results were comfortably within normal limits for more than 2 years in a row)
* 593 LDH:
* 83921 MMA:
* 84255 Selenium:
* 82525 Copper:
* 31789 Homocysteine, Cardio:
* 367 Cortisol:
* 84590 Vitamin E:
For diabetics:
* 496 HEMOGLOBIN A1C
POSSIBLE DIAGNOSIS CODES
269.2 Hypovitaminosis
269.8 Vitamin D deficiency
275.40 Calcium deficiency
266.2 Cyanocobalamin deficiency (B12)
281.1 other B12 deficiency anemia
281.0 Pernicious anemia
280.9 Iron-deficiency anemia
281.2 Folate deficiency anemia
285.9 Anemia, unspecified
269.3 Zinc deficiency
244.9 Hypothryoidism
250.0 Diabetes
401.9 Hypertension
276.9 Electrolyte and fluid disorders
272.0 Hypercholesterolemia
* 579.3 Surgical malabsorption*
* 579.8 Intestinal malabsorption *
* Bands or sleeves should not use these codes as they are not accurate.
* Some insurance companies will not pay for any procedure that uses these codes.
This is NOT medical advice, just my own targets for the main blood levels I watch.
Protein: 7's
Albumin: 4's
Pre-Albumin: 20-30's
Iron: 80-100
Ferritin: 200-300
HGB: 12+
HCT: 36+
Vit A: 60- 80
Vit D: 80-120
Calcium: 9.0-9.4
PTH: 20-40
Vit B1: Mid to top of range
Vit B6: Mid to top of range
Magnesium: Mid range (but also go by if we have leg/foot cramping)
Zinc: Mid range
Vit B12: 1000 +
Folate: Top of range 20
AST (sgot): Below 40
ALT (sgpt): Below 40
We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.
The only things I personally don't mind being on the high end of “out of range” are Ferritin and B12. But that applies to me.
My doctors don't show interest in any of these until I am out of range. I am interested when I begin heading that direction.
Not to be construed as medical advice. This list includes labs we have performed as gastric bypass patients. www.Vitalady.com
1st Group (Every 3 to 6 months for life, as we are able)
* 8005 Comprehensive Metabolic profile: (sodium, potassium, chloride, glucose, BUN, creatinine, calcium, total protein, albumin, total bilirubin, alkaline phosphatase, aspartate aminotransferase) 10231)
* 7600 Lipid profile: (cholesterol, HDL, LDL, triglycerides, chol/HDL ratio)
* 84100 Phosphorous – Inorganic: (718)
* 84550 Uric Acid: (905)
* 85025 Hemogram with platelets: (1759)
* 83550 Ferritin: (457)
* 84446 Vitamin A: (921)
* 84052 Vitamin B-1: (Thiamin) (4052)
* 7065 Vitamin B-12 & Folate: (82607; 82746)
* 83937 Osteocalcin:
* 85610 PT:
* 86141 C Reactive Protein
* 84134 Pre-albumin:
* 10256 Hep panel: includes ALT (SPGT) & GGT)
* 83735 Magnesium:
* 7444 Thyroid panel: (T3U, T4, FTI, TSH) (84437; 84443; 84479; 84480)
* 7573 Iron: TIBC, % sat
* 84630 Zinc: (945)
* 8230 Vitamin D: (25-hydroxy) (680)
* 84207 Vitamin B-6: (Pyridoxine)
* 83970 Serum intact: PTH (Parathyroid Hormone)
* 84597 Vitamin K:
* 85730 PTT:
2ND GROUP (Annually, as long as the results were comfortably within normal limits for more than 2 years in a row)
* 593 LDH:
* 83921 MMA:
* 84255 Selenium:
* 82525 Copper:
* 31789 Homocysteine, Cardio:
* 367 Cortisol:
* 84590 Vitamin E:
For diabetics:
* 496 HEMOGLOBIN A1C
POSSIBLE DIAGNOSIS CODES
269.2 Hypovitaminosis
269.8 Vitamin D deficiency
275.40 Calcium deficiency
266.2 Cyanocobalamin deficiency (B12)
281.1 other B12 deficiency anemia
281.0 Pernicious anemia
280.9 Iron-deficiency anemia
281.2 Folate deficiency anemia
285.9 Anemia, unspecified
269.3 Zinc deficiency
244.9 Hypothryoidism
250.0 Diabetes
401.9 Hypertension
276.9 Electrolyte and fluid disorders
272.0 Hypercholesterolemia
* 579.3 Surgical malabsorption*
* 579.8 Intestinal malabsorption *
* Bands or sleeves should not use these codes as they are not accurate.
* Some insurance companies will not pay for any procedure that uses these codes.
This is NOT medical advice, just my own targets for the main blood levels I watch.
Protein: 7's
Albumin: 4's
Pre-Albumin: 20-30's
Iron: 80-100
Ferritin: 200-300
HGB: 12+
HCT: 36+
Vit A: 60- 80
Vit D: 80-120
Calcium: 9.0-9.4
PTH: 20-40
Vit B1: Mid to top of range
Vit B6: Mid to top of range
Magnesium: Mid range (but also go by if we have leg/foot cramping)
Zinc: Mid range
Vit B12: 1000 +
Folate: Top of range 20
AST (sgot): Below 40
ALT (sgpt): Below 40
We usually want to "meet or beat" pre-op levels. In some cases, higher is better, and in other cases (Cholesterol, PTH for example), lower is better.
The only things I personally don't mind being on the high end of “out of range” are Ferritin and B12. But that applies to me.
My doctors don't show interest in any of these until I am out of range. I am interested when I begin heading that direction.
