Medicare codes

I am a new coder at my first coding job at a family practice. Per Medicare, as of April 1, 2015 we can no longer use code 99387/99397 for the annual wellness visit for over 65 patients, instead now we can only use G0438/G0439. My question is this: Does this apply to straight Medicare patients only or do I use this code for those patients with medicare replacements such as Humana Gold, Coventry Advantra, AARP medicare complete, Secure Horizons, etc also? Please advise as I am confused and the biller in my office is telling me that I have to use the G codes for the medicare replacements also. I am coding in Missouri.

Thanks,
Paula

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Last edited by rogerandpaula@mchsi.com; Today at 02:21 PM. Reason: adding info

Medicare codes

CPC-H-A now COC looking for remote

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I am a Radiology Tech with 30 years experience in the medical field. I personally do CT, X-ray and have performed mammography, MRI and Nuclear Medicine procedures. I have experience with paper charts as well as electronic medical records. I have passed the CPC-H and am taking the CPB next week. I hope to become a full time remote coder. I am willing to do training for a remote position at home on my own time to become proficient. Any help would be greatly appreciated.

CPC-H-A now COC looking for remote

remote positions for those with a bit less than 3 years exp?

I've been doing anesthesia coding for 2 years and 1 month.. before that I was working for the hospital but not in a direct coding position. I've been looking for a part time remote position to supplement my income but most say 3+ years experience.

Anyone know of a company who hires with less than that?

Thanks for any info!

remote positions for those with a bit less than 3 years exp?

Personal History Diagnosis

I am a newbie and would appreciate some weigh in here. We saw a patient today and my physician used cancer of the larynx for his diagnosis. I took it to him and explained that we have coded it as personal history in the past and asked if the cancer had returned, no it has not, Okay, fairly straightforward. Will code as personal history. However, that started the discussion about deviated septum, effusion and chronic sinusitis. He states that he uses septal deviation, although we have just repaired it when patient returns for follow up visits. Similarly with effusion, if we have placed a tube we cannot test it so he continues to use eustachian tube dysfunction when patient is seen in follow. And, again, with our sinus cases when they return for follow-up status post surgery (outside global for all of these examples, naturally) he still uses chronic sinusitis.

What is the appropriate ICD9 to use in these cases - i.e. where surgery has resolved the issue but patient returns in follow up?

Personal History Diagnosis

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trigger point inj. paraspinal

Good Afternoon,

I was wondering if trigger point injections for paraspinal should be broken up into paracervical, parathoracic, and paralumbar or if they can be counted at each vertebra level. Like, if the Doctor does three trigger points injections at the thoracic level at T2 and T3 bilaterally would that count as 2 muscle groups or 4? I have a diagram and it looks like there is actually an individual small muscle at each vertebra but I'm not sure. Please help!

trigger point inj. paraspinal

removal of tunneled central venous

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removal of tunneled central venous