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Recipes for the most common Codelle workflows. Each one walks through the exact steps from your dashboard.

How do I draft a claim from a clinical note?

PRO
  1. 1.Open AI Coder. From the dashboard or top nav, click 'AI Coder PRO'. You land on /ai/notes/new.
  2. 2.Paste the note. SOAP, op report, telehealth, multi-system follow-up — any free-text clinical documentation, up to 15,000 characters.
  3. 3.Optionally pick a specialty. Auto-detect runs by default. Override via the Specialty dropdown if your specialty has unusual rubric weighting (orthopedics, derm, plastics, GI, ophthalmology).
  4. 4.Click Draft claim →. Lifecycle pipeline runs: PARSE → VERIFY → ENRICH → DONE in ~6s.
  5. 5.Review per-procedure cards. Each card shows the suggested code with modifier, confidence rating, evidence chips, NCCI verdicts, modifier rubric scoring, and coverage rules. Click ▸ to expand evidence chips and see the exact note text supporting the line.
  6. 6.Reject anything you don't want. Per-line and per-modifier Reject buttons remove the suggestion. Click '+ Add code' to manually append a line.
  7. 7.Hand off. Copy text, Copy CSV, Printable, or 'Scrub before submit' to send the draft to Claim Scrub for a final compliance pass.

Related features: AI Coder, Claim Scrub

How do I validate a finished claim before submitting?

PRO
  1. 1.Open Claim Scrub. /tools/claim-scrub or click 'Scrub before submit' from an AI Coder draft.
  2. 2.Pick input mode. Paste a free-form string (e.g., 99214-25, 93000 · I10, E11.9 · 58F · DOS 2026-05-07 · NJ) or use the Structured form for procedures, diagnoses, patient sex+age, DOS, and locality.
  3. 3.Click Scrub claim → ⌘+↵. PARSE (validate shape) → VERIFY (Excludes1, age/sex) → ENRICH (LCD/NCD, language) → DONE in ~5s.
  4. 4.Read verdicts. PASS lines are clean. WEAK lines need a chart review — the AI tells you what's missing. FAIL lines must be fixed (or removed) before submission.
  5. 5.Export. CSV or PRINT for the audit folder. Save the Trace ID in case you need to debug a finding later.

Related features: Claim Scrub, AI Coder

How do I decide whether to append a modifier?

PRO
  1. 1.Open Modifier Advisor. /tools/modifier-advisor.
  2. 2.Enter the procedure. CPT or HCPCS code.
  3. 3.Add clinical context. One or two sentences from the chart describing what was done — focus on the elements the modifier requires.
  4. 4.Optionally add diagnoses. Multi-select if dx is relevant to the modifier choice (e.g., bilateral procedures benefit from primary dx detail).
  5. 5.Click Get recommendation ⌘+↵. Per-criterion verdicts, confidence %, and a doc-gap list of items missing from the chart.
  6. 6.Update the chart if needed. Add the doc-gap items to the note before billing — the advisor names the exact phrasing.

Related features: Modifier Advisor, NCCI Edit Validator

How do I look up the Medicare allowable for a CPT code?

STARTER
  1. 1.Open the Fee Schedule lookup. /fees, or just open the code-detail page for the CPT code (every page renders the fee schedule inline).
  2. 2.Confirm your locality. Codelle defaults to the locality on your dashboard (e.g., Northern NJ). Click the locality picker to change.
  3. 3.Read the rates. You'll see Non-facility allowable (office/clinic), Facility allowable (hospital outpatient/ASC), the National baseline, RVU components (Work · PE · MP), and your locality's GPCI multipliers.
  4. 4.Optionally compare years. Use the year selector to see FY2024 and FY2025 rates.

How do I find an ICD-10 code from a symptom or description?

FREE
  1. 1.Use Search. /search or the ⌘K shortcut from any page.
  2. 2.Type the symptom or description. Try 'chest pain', 'diabetes', 'hypertension', 'fracture' — Codelle handles plain-language queries.
  3. 3.Filter by code set (optional). Tabs at the top: ALL / ICD-10 / ICD-10-PCS / ICD-9 / CPT / HCPCS / MODIFIERS.
  4. 4.Pick the year. Year filter on the right defaults to current FY. Switch to 2025 or 2024 to audit historical claims.
  5. 5.Click into a result. Each result links to the full code-detail page with description, parent hierarchy, related codes, and clinical guidance.

How do I see what changed for a code between fiscal years?

FREE
  1. 1.Open the code-detail page. e.g., /codes/CPT/99213.
  2. 2.Find the year selector. Top of the page — current FY is selected by default.
  3. 3.Switch years. Pick FY2025 or FY2024 to see the description and code-set context for that year.
  4. 4.Watch for the inactive banner. If you land on a deleted code (e.g., CPT 55700), the page renders with an INACTIVE badge, the termination date, and a list of likely replacement codes.

How do I export a drafted or scrubbed claim?

PRO
  1. 1.Open the claim view. AI Coder draft or Claim Scrub session.
  2. 2.Pick a format. Copy text (markdown-style), Copy CSV (one row per line), or Printable (a print-ready sheet with all findings, verdicts, and Trace ID).
  3. 3.For records. Copy the Trace ID — it's the audit anchor for any finding you might need to defend later.

Related features: AI Coder, Claim Scrub

Need a human?

Email hello@codelle.com. Response within 1 business day.