procedure-coding Skill

Source

• Creator: anthropics
• Repository: anthropics/healthcare
• Skill file: plugins/healthcare/skills/procedure-coding/SKILL.md

What it does

Assign CPT and HCPCS Level II procedure codes from clinical documentation the way a professional coder builds the claim. Use when users say "code this encounter for procedures", "what CPT codes apply", "assign HCPCS codes", "code this op note", or when turning visit notes or operative reports into claim-ready procedure

Skill instructions

Procedure Coding from Encounter Documentation Turn one encounter's clinical documentation into the procedure codes a professional coder would submit on the claim: CPT (five digits, or four digits + F for Category II tracking codes) for physician services, procedures, and quality measures, plus HCPCS Level II (letter + four digits) for supplies, devices, and non-physician services CPT does not cover. Step 1 — Abstract every billable service from the note Read the documentation and list each distinct billable service performed at this encounter. Work by category: - Evaluation and management — the visit itself: office, emergency, observation, inpatient, consultation. One E/M code per encounter unless a separately identifiable service is documented. When the visit is for ongoing management of a single serious or complex chronic condition, the complexity add-on may apply alongside the office E/M code. - Ancillary services that ride alongside the visit — a blood draw for any lab is a separat