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Step 6 of 14 · Clinical

Coding Assistant

Building claim CLM-2026-0088431 · total charges $528.00

7 AI suggestions applied
  1. Appointment
  2. Registration
  3. Eligibility
  4. Encounter
  5. 5 Claim

ICD-10 Search

Query: chronic right knee osteoarthritis

chronic right knee osteoarthritis
M17.11Unilateral primary osteoarthritis, right knee96%
M17.12Unilateral primary osteoarthritis, left knee44%
M17.0Bilateral primary osteoarthritis of knee31%
M25.561Pain in right knee92%

CPT Search

Suggested from documented services

new patient visit + knee injection
99204Office/outpatient visit, new patient, 45 min25
99203Office/outpatient visit, new patient, 30 min
20610Arthrocentesis/injection, major jointRT
73562Radiologic exam, knee, 3 viewsRT

Diagnosis → Procedure Mapping

Pointer assignment for the 837P claim

CPTDescriptionModifierDx pointerUnitsCharge
99204Office visit, new patient, moderate complexity— (AI: add 25)M17.111$245.00
20610Arthrocentesis, major joint — knee injectionRTM25.5611$198.00
73562Radiologic exam, knee, 3 viewsRTG89.291$85.00
J1030Methylprednisolone acetate, 40 mg · HCPCSM17.111$22.00
A4550Surgical tray · HCPCSM17.111$0.00

Coding advisory

99204 and 20610 on the same date of service require modifier 25 on the E/M line for UnitedHealthcare. Run AI Claim Review to validate and auto-apply.

Next: AI Claim Review