How it works  /  Coding desk  ·  step 4 of 7
Coding desk

Rules pick the codes. The model only reads the note

The model turns a note into facts. Deterministic rules turn facts into CPT and ICD — and anything the model proposed on its own is labelled, never passed off as verified.

What this changes for you

A claim you can defend line by line

Every code traces to a rule and a source, so an audit is a lookup rather than an argument — and the modifiers come from CMS tables, not from habit.

A code you cannot explain is a code you cannot defend

When an auditor asks why 27447 was billed, “the model suggested it” is not an answer. Every line here traces to a rule and a source.

Modifiers come from the data, not from habit

NCCI pairs, MUE limits and the PFS indicators decide what a line needs — 1.7 million code pairs checked, not a remembered convention.

Questions it will not guess at

Modifier 25 asserts a significant, separately identifiable service. The engine asks the doctor rather than inferring it from the note.

Try it on your own words

Paste a note and watch the claim get built. Leave it empty to run the sample case. Use made-up details — this is a public page, so do not paste real patient information.

What the engine returned

case_coder.code_case → unified_coding_orchestrator.build_unified_claim
claimClaim built 99214-25 + 20610-76-RT + J3301 · ICD M17.11
99214-25 1 unit · diagnosis M17.11
20610-76-RT 1 unit · diagnosis M17.11
J3301 4mg documented → 1 unit(s) of J3301
Rule applied Added modifier 25 to 99214 (separate E/M with same-day procedure)
Rule applied Added modifier 76 to 20610
Rule applied Added modifier RT to 20610
askWhy was this service repeated on the same day? Without the right modifier the second line is denied as a duplicate; 91 is for laboratory tests and 76/77 for procedures.

cached run · 57.7s — press Run this engine for your own text

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