CPT Coding Assistant

CLINICAL DOCUMENTATION QUALITY ASSURANCE TOOL — NOT A SUBSTITUTE FOR PROFESSIONAL CODING OR MEDICAL JUDGMENT This tool provides educational analysis to assist with documentation clarity and compliance. Final CPT code selection, diagnosis assignment, and all medical decisions remain solely the responsibility of the treating provider. Providers must independently verify that all MDM elements, diagnoses, and clinical impressions accurately reflect their own work and comply with current CPT guidelines, payer policies, and institutional standards. AI systems may generate errors, omissions, or hallucinations. Always use your own medical and billing judgment as the final deciding factor.