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How Codelle works
The AI drafts. CMS rules decide.
Generic AI tools invent codes that don't exist and quote policies that retired years ago — because they pull from whatever was on the internet when they were trained. Codelle works the other way around. Every CPT, ICD-10, HCPCS code, NCCI edit, MUE limit, fee, and LCD comes from current CMS and AMA sources we maintain. The AI is locked to that set.
Who decides what
| Which codes the note supports | AI |
| Which sentence justifies each code | AI |
| Whether two codes have an NCCI conflict | CMS NCCI |
| The Medicare fee for a code | CMS RVU × your locality |
| MUE unit limits, age/sex edits, effective dates | CMS files |
| LCD coverage in your jurisdiction | CMS Local Coverage DB |
| E/M level from MDM elements | AMA 2021+ rules |
The AI suggests; CMS rules verify. The AI never tells you a claim will pay — that answer comes from the checks that run after the draft.
What we don't do
- We don't let the AI invent codes from memory. It picks from our database.
- We don't search the open web at draft time.
- We don't train AI on your patient notes.
- We don't hide the source — every suggestion shows where it came from.
Questions? See FAQ or email hello@codelle.com.
Need a human?
Email hello@codelle.com. Response within 1 business day.