🏥 HCPCS/CPT Code Analysis Report

Comparative Analysis of LLM Performance in Medical Code Assignment

Generated
12/23/2025
Total Notes
33
With Gold Standard
28
Models Tested
Anthropic, OpenAI, Gemini

📐 Evaluation Metrics

Metric Definitions

Precision Correct codes / Total AI-predicted codes
Recall (Accuracy) Correct codes / Total gold standard codes
F1 Score Harmonic mean of precision & recall
Invalid Rate Invalid format codes / Total AI-predicted codes
Hallucination Rate Hallucinated codes (don't exist) / Total AI-predicted codes
Variance Score Notes with identical outputs across 3 runs / Total notes

📊 Aggregate Results

67%
60%
66%
Precision
65%
54%
59%
Recall
66%
57%
62%
F1
Anthropic
OpenAI
Gemini

Anthropic

Precision 66.7%
Recall (Accuracy) 65.2%
F1 Score 65.9%
True Positives 30
False Positives 15
False Negatives 16
Invalid Rate 0.0%
Hallucination Rate 0.0%

OpenAI

Precision 59.5%
Recall (Accuracy) 54.3%
F1 Score 56.8%
True Positives 25
False Positives 17
False Negatives 21
Invalid Rate 0.0%
Hallucination Rate 0.0%

Gemini

Precision 65.9%
Recall (Accuracy) 58.7%
F1 Score 62.1%
True Positives 27
False Positives 14
False Negatives 19
Invalid Rate 0.0%
Hallucination Rate 0.0%
64%
61%
73%
Consistency
85%
80%
86%
Jaccard
Anthropic
OpenAI
Gemini

Variance Metrics Explained

Consistency Rate: Percentage of notes where all 3 runs produced identical code sets. Higher = more deterministic.
Jaccard Similarity: Average overlap between run pairs (intersection/union). 100% = perfect consistency across runs.

Anthropic

Consistency Rate 63.6%
Mean Jaccard 84.6%
Identical Notes 21 / 33

OpenAI

Consistency Rate 60.6%
Mean Jaccard 80.5%
Identical Notes 20 / 33

Gemini

Consistency Rate 72.7%
Mean Jaccard 86.2%
Identical Notes 24 / 33

Anthropic (99 runs)

Avg Response Time 45.65s
Avg Input Tokens 1497.58
Avg Output Tokens 2776.01

OpenAI (99 runs)

Avg Response Time 83.45s
Avg Input Tokens 1559.45
Avg Output Tokens 4655.98

Gemini (99 runs)

Avg Response Time 34.77s
Avg Input Tokens 1368.73
Avg Output Tokens 233.12

📋 Model Comparison Summary

Metric AnthropicOpenAIGemini Best
Precision66.7%59.5%65.9%Anthropic
Recall (Accuracy)65.2%54.3%58.7%Anthropic
F1 Score65.9%56.8%62.1%Anthropic
Consistency Rate63.6%60.6%72.7%Gemini
Mean Jaccard84.6%80.5%86.2%Gemini
Invalid Rate0.0%0.0%0.0%All
Hallucination Rate0.0%0.0%0.0%All
Avg Time (sec)45.6583.4534.77Gemini

📝 Per-Note Analysis

Click on a note to expand details. Notes are compared against the gold standard codes.

27650 Correct (in gold standard)
✗ 27650 Missed (not predicted)
27651 Extra (not in gold standard)
27650 Gold Standard
Achilles Tendon Repair
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
27650
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27650
Run 1 (24.12s)
27650
This procedure note describes a primary open repair of a complete Achilles tendon rupture. CPT 27650 is the specific code for primary repair of ruptured Achilles tendon. The debridement of the hematom...
Run 2 (14.16s)
27650
The procedure note describes an open primary repair of a complete Achilles tendon rupture located 4 cm proximal to the insertion. The repair was performed using a Krackow suture technique with #0 PDS ...
Run 3 (19.30s)
27650
This operative note describes a primary open repair of a complete Achilles tendon rupture. The procedure involved a longitudinal incision, exposure of the ruptured tendon (4 cm proximal to insertion),...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27650
Run 1 (24.73s)
27650
Operative note documents an acute complete left Achilles tendon rupture treated with primary (no graft) surgical repair using sutures (Krackow stitch). No grafting, tendon transfer, or secondary recon...
Run 2 (16.22s)
27650
Operative note documents an open primary repair of a complete left Achilles tendon rupture using suture (Krackow) technique without graft/augmentation; casting and routine debridement/closure are incl...
Run 3 (79.53s)
27650
The operative note documents an open primary repair of a complete left Achilles tendon rupture using suture technique (Krackow) without graft or secondary reconstruction.
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27650
Run 1 (11.76s)
27650
The surgeon performed a primary repair of a complete Achilles tendon rupture. The procedure involved an open incision, debridement of the frayed tendon ends, and reapproximation using Krackow stitches...
Run 2 (9.48s)
27650
The surgeon performed a primary repair of a complete Achilles tendon rupture. The procedure involved an open incision, debridement of frayed edges/hematoma, and direct suture repair (Krackow stitch) w...
Run 3 (14.04s)
27650
The procedure note describes a primary open repair of a complete Achilles tendon rupture. The surgeon performed an incision, identified the rupture, debrided the frayed edges, and repaired the tendon ...
Anterior Cervical Discectomy & Fusion - 4
Gold: 0 codes
Gold Standard Codes (Practitioner Labeled)
No gold standard available
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 209302255122845
Run 1 (59.14s)
225512284520930
This is a single-level anterior cervical discectomy and fusion (ACDF) at C3-4. CPT 22551 covers the primary procedure including discectomy, decompression, osteophytectomy, and interbody arthrodesis at...
Run 2 (75.46s)
225512284522851
This is a single-level anterior cervical discectomy and fusion (ACDF) at C3-4. CPT 22551 is the primary code for anterior interbody arthrodesis at a single cervical level, which includes the discectom...
Run 3 (76.63s)
22551228452285920930
22551 is the primary code for single-level anterior cervical discectomy and fusion (ACDF) at C3-4, which includes the discectomy, osteophytectomy, decompression, and arthrodesis. 22845 is added for th...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 20930225512284522853
Run 1 (73.53s)
22551228452285120930
Note documents a single-level anterior cervical discectomy with decompression and interbody fusion at C3-4 (22551), placement of an anterior cervical plate with screws spanning C3-4 (22845), insertion...
Run 2 (40.14s)
22551228452285320930
The note documents a single-level anterior cervical discectomy/decompression with anterior interbody fusion at C3-4 (22551), anterior plate fixation spanning C3-4 (22845), placement of a PEEK interbod...
Run 3 (66.91s)
22551228452285320930
Procedure documents a single-level C3-4 anterior cervical discectomy and interbody fusion (ACDF) consistent with 22551. An anterior cervical plate and screws spanning C3-4 supports 22845 (2 vertebral ...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 20930225512284522853
Run 1 (26.11s)
22551228452285320930
The provider performed an Anterior Cervical Discectomy and Fusion (ACDF) at level C3-4. CPT 22551 is the comprehensive code for anterior interbody arthrodesis that includes the discectomy, osteophytec...
Run 2 (25.23s)
22551228452285320930
The procedure performed is an Anterior Cervical Discectomy and Fusion (ACDF) at a single level (C3-4). CPT 22551 is the comprehensive code for the anterior interbody arthrodesis which includes the dis...
Run 3 (37.05s)
22551228452285320930
The surgeon performed an Anterior Cervical Discectomy and Fusion (ACDF) at the C3-C4 level. CPT 22551 is the comprehensive code for a single-level cervical anterior interbody arthrodesis that includes...
Arthroplasty
Gold: 2 codes Best: OpenAI
Gold Standard Codes (Practitioner Labeled)
2828511042
Anthropic
P: 50% R: 50% F1: 50% Consistent: ✓
Majority Codes (2+ runs): 1142328285 ✗ 11042
Run 1 (59.56s)
2828511423
28285 is assigned for the arthroplasty/hammertoe correction of the left fifth digit PIP joint, which involved resection of the lateral osseous prominence using a sagittal saw - this is consistent with...
Run 2 (54.00s)
2828511423
Two distinct procedures were performed: (1) Hammertoe correction via arthroplasty of the left fifth toe PIP joint with resection of lateral osseous prominence and smoothing with oscillating rasp - cod...
Run 3 (48.73s)
2828511423
Two distinct procedures were performed: 1) 28285 is assigned for the hammertoe correction at the proximal interphalangeal joint of the left fifth toe, which involved lateral condylar resection using a...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 1104228285
Run 1 (271.14s)
2828511042
Left 5th toe PIP joint arthroplasty/bony resection performed for hammertoe deformity supports hammertoe correction (28285). Plantar ulceration excised (3 cm x 1 cm = 3 sq cm) down to deep soft tissue ...
Run 2 (164.75s)
2828511042
The operative note documents surgical correction of a left 5th toe hammertoe via PIP joint arthroplasty/bony resection (28285) and excisional removal of a plantar ulcer/lesion measuring 3 cm x 1 cm (3...
Run 3 (148.61s)
2828511042
Procedure note documents hammertoe correction of the left 5th toe via PIP joint arthroplasty/bony resection (28285) and excision of a 3 cm x 1 cm plantar ulceration extending to subcutaneous level/per...
Gemini
P: 50% R: 50% F1: 50% Consistent: ✗
Majority Codes (2+ runs): 1142128285 ✗ 11042
Run 1 (74.91s)
2828511421
CPT 28285 is selected for the hammertoe correction. The operative report lists 'Hammertoe deformity' as the diagnosis and 'Arthroplasty' as the procedure. The detailed description notes the reflection...
Run 2 (108.61s)
2812411421
Code 28124 is selected for the 'arthroplasty' of the 5th toe because the operative detail describes the resection of a 'lateral osseous prominence' (condylectomy/exostectomy) rather than the resection...
Run 3 (68.65s)
2828511423
Code 28285 is selected for the 'Arthroplasty of the left fifth digit proximal interphalangeal joint' to treat the 'Hammertoe deformity'. The procedure involved a partial phalangectomy (resection of th...
Biceps Tendon Repair
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
24342
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 24342
Run 1 (15.98s)
24342
The procedure describes repair of a ruptured distal biceps tendon at the right elbow. The tendon was identified, prepared with Krackow sutures using fiber wire, and reinserted into the radial tuberosi...
Run 2 (19.81s)
24342
The operative note describes repair of a ruptured distal biceps tendon at the right elbow. The procedure involved a two-incision technique with identification of the retracted biceps tendon, freshenin...
Run 3 (14.46s)
24342
The procedure describes repair of a ruptured distal biceps tendon with reinsertion to the radial tuberosity. The surgeon used a two-incision technique, prepared the tendon with Krackow sutures, create...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 24342
Run 1 (37.56s)
24342
The operative report documents an open repair of a ruptured distal biceps tendon at the right elbow with reattachment to the radial tuberosity (tendon debridement/refreshing, bone trough/drill holes, ...
Run 2 (23.12s)
24342
The operative note describes an open reattachment/repair of a ruptured distal biceps tendon at the right elbow to the radial tuberosity using sutures through drill holes, which is reported with CPT 24...
Run 3 (54.73s)
24342
Operative note documents open repair/reinsertion of a ruptured distal biceps tendon at the right elbow with reattachment to the radial tuberosity.
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 24342
Run 1 (9.72s)
24342
The procedure note describes the repair of a ruptured distal biceps tendon. The surgeon retrieved the retracted tendon, prepared the radial tuberosity (bone), and reinserted the tendon into the bone u...
Run 2 (12.10s)
24342
The operative note describes the repair of a ruptured distal biceps tendon in the right elbow. The procedure involved retrieving the proximal tendon stump, creating a trough in the radial tuberosity, ...
Run 3 (11.40s)
24342
The procedure note describes the repair of a ruptured distal biceps tendon in the right elbow. The surgeon retrieved the retracted tendon, prepared the radial tuberosity (bone) by creating a trough an...
Bunionectomy & Arthrodesis
Gold: 7 codes Best: Anthropic
Gold Standard Codes (Practitioner Labeled)
28293282852828628234283082828528285
Anthropic
P: 50% R: 29% F1: 36% Consistent: ✗
Majority Codes (2+ runs): 28110282702828528293 ✗ 28286✗ 28234✗ 28308
Run 1 (161.13s)
2829328285282852828528285282342827028110
28293 is appropriate for the bunionectomy with Biopro hemiarthroplasty implant at the 1st MTP joint, which included resection of proximal phalanx base, sesamoidectomy, and implant placement. 28285 is ...
Run 2 (87.50s)
28293282852828528285282852827028110
28293 covers the bunionectomy with Biopro hemi-implant insertion, including resection of proximal phalanx base, metatarsal head remodeling, sesamoidectomy (tibial sesamoid removed), and lateral releas...
Run 3 (81.90s)
28293282852828528285282852811028270
28293 is assigned for the bunionectomy with Biopro hemi-implant which included resection of the proximal phalanx base and sesamoid tissue removal. 28285 is assigned four times for hammertoe correction...
OpenAI
P: 33% R: 14% F1: 20% Consistent: ✗
Majority Codes (2+ runs): 281102827028285 ✗ 28293✗ 28286✗ 28234✗ 28308
Run 1 (228.02s)
28292282852827028110
Right 1st MTP procedure included Keller-type proximal phalanx base resection with placement of a hemi-implant for bunion correction; hammertoe corrections were performed on toes 2-5 (with IP joint art...
Run 2 (128.98s)
28293282852827028110
Right 1st MTP resection arthroplasty with placement of a Biopro hemi-implant for bunion/hallux valgus supports 28293. Hammertoe corrections were performed on right toes 2-5 (including PIP arthrodesis ...
Run 3 (176.10s)
28291282852827028110
The operative note documents first MTP joint arthroplasty with placement of a Biopro hemi-implant, hammertoe corrections of toes 2-5 (PIP arthrodesis for toes 2-4 and hammertoe repair for toe 5), a se...
Gemini
P: 25% R: 14% F1: 18% Consistent: ✗
Majority Codes (2+ runs): 28110282702828528291 ✗ 28293✗ 28286✗ 28234✗ 28308
Run 1 (62.16s)
282912828528110
Code 28291 is selected for the bunionectomy of the right first metatarsophalangeal joint which included resection of the base of the proximal phalanx and insertion of a Biopro hemi implant. Code 28285...
Run 2 (62.84s)
28291282852811028270
1. CPT 28291 is selected for the right 1st metatarsophalangeal joint procedure. Although the diagnosis is Hallux Abductovalgus, CPT 28293 (Bunionectomy with implant) was deleted in 2017 and replaced b...
Run 3 (55.40s)
28293282852811028270
1. CPT 28293: The procedure on the right first MTP joint involved a bunionectomy with resection of the base of the proximal phalanx, removal of sesamoid/exostoses, and insertion of a Biopro hemi-impla...
Bunionectomy & Flexor Tenotomy
Gold: 0 codes
Gold Standard Codes (Practitioner Labeled)
No gold standard available
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 282322828528296
Run 1 (55.03s)
282962828528285282852828528285282852823228232
28296 covers the bunionectomy with Austin (distal chevron) osteotomy and internal screw fixation on the right first metatarsal; fixation is included in this code. 28285 is reported 6 times for the ham...
Run 2 (72.52s)
282962828528285282852828528285282852823228232
28296 assigned for the bunionectomy with distal first metatarsal Austin osteotomy and internal screw fixation on the right foot, which includes the lateral release and medial eminence resection. 28285...
Run 3 (55.96s)
282962828528285282852828528285282852823228232
28296 covers the bunionectomy with Austin (long-arm) distal metatarsal osteotomy and internal screw fixation on the right foot; internal fixation is included in this code. 28285 is reported per toe (6...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 2828528296
Run 1 (95.84s)
2829628285
Right foot bunionectomy with distal first metatarsal (Austin-type) osteotomy and internal screw fixation is reported with 28296. Hammertoe corrections via PIP arthroplasty (bilateral 5th toes) and DIP...
Run 2 (94.31s)
2829628285
Right foot bunionectomy was performed with a distal first metatarsal (Austin-type) osteotomy and screw fixation, supporting CPT 28296. Hammertoe corrections were performed via interphalangeal joint ar...
Run 3 (132.13s)
2829628285
Right foot bunion corrected with distal first metatarsal (Austin-type) osteotomy and screw fixation, which is reported with 28296. Hammertoe deformities were surgically corrected with interphalangeal ...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 2828528296
Run 1 (31.74s)
2829628285
CPT 28296 is assigned for the right foot procedure involving a bunionectomy with a long arm Austin osteotomy (distal metatarsal osteotomy) and internal screw fixation. CPT 28285 is assigned for the co...
Run 2 (28.43s)
2829628285
The surgeon performed a bunionectomy on the right foot using a long arm Austin osteotomy (distal metatarsal osteotomy), which corresponds to CPT 28296. Additionally, the surgeon corrected deformities ...
Run 3 (27.34s)
2829628285
CPT 28296 is selected for the right foot procedure involving the removal of the medial eminence and a distal first metatarsal osteotomy (Austin type) with internal screw fixation and lateral release t...
Carpal Tunnel Release
Gold: 3 codes Best: Anthropic OpenAI
Gold Standard Codes (Practitioner Labeled)
647212614564727
Anthropic
P: 67% R: 67% F1: 67% Consistent: ✗
Majority Codes (2+ runs): 251156472164727 ✗ 26145
Run 1 (82.76s)
6472164727
64721 is assigned for the carpal tunnel release/decompression with neuroplasty of the median nerve, which included transection of the transverse carpal ligament and release of the distal volar forearm...
Run 2 (69.20s)
647216472725115
64721 is the primary code for open carpal tunnel release/median nerve decompression at the wrist. 64727 is the add-on code for internal neurolysis (epineurolysis) specifically documented as performed ...
Run 3 (79.81s)
647216472725115
64721 represents the primary carpal tunnel release (open decompression of the median nerve with transverse carpal ligament transection). 64727 is the add-on code for internal neurolysis using the oper...
OpenAI
P: 67% R: 67% F1: 67% Consistent: ✗
Majority Codes (2+ runs): 251156472164727 ✗ 26145
Run 1 (294.94s)
6472164727
The operative note documents open decompression of the median nerve at the wrist via transection of the transverse carpal ligament (carpal tunnel release) and a separate internal epineurolysis (intern...
Run 2 (357.32s)
647212511564727
The note documents an open decompression of the median nerve at the wrist consistent with carpal tunnel release (64721), flexor tenosynovectomy for flexor tenosynovitis (25115), and a microscopic inte...
Run 3 (170.73s)
647212511564727
The note describes an open carpal tunnel decompression of the median nerve (64721) with additional flexor tenosynovectomy in the carpal tunnel/wrist region (25115) and documented internal epineurolysi...
Gemini
P: 100% R: 33% F1: 50% Consistent: ✗
Majority Codes (2+ runs): 64721 ✗ 26145✗ 64727
Run 1 (44.13s)
64721
The procedure performed is a decompression of the median nerve at the wrist (carpal tunnel release). CPT 64721 is the appropriate code for an open release of the transverse carpal ligament. The patien...
Run 2 (44.64s)
64721
The procedure performed is an open carpal tunnel release (decompression of the median nerve). While the operative note lists 'Microscopic flexor tenosynovectomy' and 'Microscopic median internal epine...
Run 3 (22.03s)
6472164727
CPT 64721 is selected for the open carpal tunnel release (transection of the transverse carpal ligament). CPT 64727 is selected as an add-on code because the surgeon explicitly documented performing a...
Closed ORIF - Ankle
Gold: 2 codes
Gold Standard Codes (Practitioner Labeled)
2776627792
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 27822 ✗ 27766✗ 27792
Run 1 (25.04s)
27822
The procedure documents open reduction and internal fixation of a trimalleolar ankle fracture. The operative note clearly describes ORIF of the lateral malleolus (with 6-hole one-third tubular plate a...
Run 2 (33.22s)
27822
The procedure documents a trimalleolar ankle fracture (lateral, medial, and posterior malleolus) treated with open reduction and internal fixation. The lateral malleolus was fixed with a 6-hole one-th...
Run 3 (27.36s)
27822
The procedure describes open reduction and internal fixation of a trimalleolar ankle fracture involving lateral, medial, and posterior malleoli. The operative note documents open treatment with plate ...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 27822 ✗ 27766✗ 27792
Run 1 (20.74s)
27822
The operative note documents open reduction and internal fixation of a right trimalleolar ankle fracture with fixation of the lateral malleolus (plate/screws) and medial malleolus (screws). A posterio...
Run 2 (42.26s)
27822
The operative report documents open reduction and internal fixation of a right trimalleolar ankle fracture with fixation of the lateral malleolus (plate/screws) and medial malleolus (screws). No fixat...
Run 3 (52.54s)
27822
The operative report documents open reduction and internal fixation of a trimalleolar right ankle fracture with internal fixation of the lateral malleolus (fibular plate/screws) and medial malleolus (...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 27822 ✗ 27766✗ 27792
Run 1 (18.53s)
27822
The patient presented with a trimalleolar ankle fracture involving the medial, lateral, and posterior malleoli. The surgeon performed an Open Reduction and Internal Fixation (ORIF) involving a 6 cm la...
Run 2 (25.98s)
27822
The operative note describes an open reduction and internal fixation (ORIF) of a trimalleolar ankle fracture. The surgeon made incisions to access and fix the lateral malleolus (using a plate and scre...
Run 3 (27.26s)
27822
The operative report documents a diagnosis of a trimalleolar ankle fracture (involving lateral, medial, and posterior malleoli). The surgeon performed an Open Reduction and Internal Fixation (ORIF) in...
Condylectomy
Gold: 1 codes
Gold Standard Codes (Practitioner Labeled)
28288
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 28110 ✗ 28288
Run 1 (20.41s)
28110
The procedure performed was a lateral and plantar condylectomy of the fifth left metatarsal head for prominent condyle hypertrophy (bunionette deformity). CPT code 28110 specifically addresses partial...
Run 2 (29.63s)
28110
The procedure describes a lateral and plantar condylectomy of the fifth metatarsal head for prominent condyle hypertrophy, which is essentially a bunionette (tailor's bunion) correction. CPT 28110 spe...
Run 3 (20.82s)
28110
The procedure performed was a lateral and plantar condylectomy of the fifth metatarsal head. CPT code 28110 is the specific code for partial excision/ostectomy of the fifth metatarsal head, commonly p...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 28110 ✗ 28288
Run 1 (27.39s)
28110
Operative note documents a lateral and plantar condylectomy (resection/ostectomy) of the 5th metatarsal head without metatarsal osteotomy or internal fixation, which is best represented by CPT 28110.
Run 2 (42.64s)
28110
Procedure performed was a lateral and plantar condylectomy (partial bony resection/ostectomy) of the 5th metatarsal head; no metatarsal osteotomy, tendon work, or other separately reportable procedure...
Run 3 (39.28s)
28110
Procedure performed was a lateral and plantar condylectomy (partial bony excision/ostectomy) of the 5th metatarsal head to remove hypertrophic prominences, which is reported with CPT 28110.
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 28110 ✗ 28288
Run 1 (17.62s)
28110
The procedure describes a 'lateral and plantar condylectomy' of the fifth metatarsal head, in which bony prominences were removed and edges smoothened. This constitutes a partial excision of the fifth...
Run 2 (14.83s)
28110
The procedure note describes a 'Lateral and plantar condylectomy, fifth left metatarsal' where the surgeon utilized a sagittal saw to remove the bony prominences (condyles) of the fifth metatarsal hea...
Run 3 (34.65s)
28110
The procedure note describes a 'lateral and plantar condylectomy of the fifth left metatarsal head' involving the removal of bony prominences. CPT code 28110 is the specific code for a partial excisio...
Debridement - Shoulder
Gold: 3 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
298232333411981
Anthropic
P: 33% R: 33% F1: 33% Consistent: ✗
Majority Codes (2+ runs): 230302333423430 ✗ 29823✗ 11981
Run 1 (141.77s)
233342343023929
23334 is the primary code for removal of the total shoulder arthroplasty (both humeral and glenoid components), which includes the extensive debridement and synovectomy performed. 23430 is separately ...
Run 2 (85.34s)
233342303023430
23334 is assigned for the removal of the total shoulder arthroplasty including both the uncemented humeral component and cemented glenoid component. 23030 captures the extensive incision and drainage ...
Run 3 (103.32s)
233342303023430
23334 is assigned for removal of both the humeral and glenoid components of the infected total shoulder arthroplasty; this code includes the debridement and synovectomy performed intra-articularly. 23...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 23430 ✗ 29823✗ 23334✗ 11981
Run 1 (344.52s)
2347423430
The operative note documents removal of both humeral and glenoid components of an infected total shoulder arthroplasty (best captured by the total shoulder arthroplasty revision code for both componen...
Run 2 (430.77s)
239992070023430
The operative report describes explantation of both humeral and glenoid components of an infected total shoulder arthroplasty with extensive irrigation/debridement and no definitive reimplantation/spa...
Run 3 (333.74s)
233352343011981
The note documents explantation of an infected total shoulder arthroplasty (humeral and glenoid components), performance of an open biceps tenodesis, and placement of antibiotic-impregnated cement bea...
Gemini
P: 33% R: 33% F1: 33% Consistent: ✓
Majority Codes (2+ runs): 119812333523430 ✗ 29823✗ 23334
Run 1 (68.89s)
233351198123430
CPT 23335 is selected because the procedure involves the removal of a total shoulder arthroplasty (both humeral and glenoid components) due to infection; the code description encompasses the extensive...
Run 2 (47.30s)
233352343011981
CPT 23335 is selected because both the humeral and glenoid components of the total shoulder arthroplasty were removed. The code descriptor for 23335 explicitly includes 'debridement and synovectomy', ...
Run 3 (67.18s)
233351198123430
The procedure involves the removal of both the humeral and glenoid components of a total shoulder arthroplasty due to deep infection, which is captured by CPT 23335. This code encompasses the extensiv...
Diskectomy
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
63042
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✗
Majority Codes (2+ runs): 63042
Run 1 (30.26s)
6304220926
63042 is the appropriate code for a redo/reexploration lumbar diskectomy at a single interspace (L4-5), which includes the laminotomy, scar lysis, nerve root decompression, and disk fragment excision ...
Run 2 (29.44s)
63042
This procedure is a redo (revision/reexploration) lumbar diskectomy at L4-5, a single interspace. CPT 63042 is specifically designated for reexploration lumbar laminotomy with decompression and discec...
Run 3 (23.39s)
63042
This procedure is a redo (re-exploration) lumbar diskectomy at a single interspace level (L4-5). CPT 63042 is the specific code for re-exploration of a previous lumbar laminotomy with decompression an...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 63042
Run 1 (26.53s)
63042
Operative note documents a redo (reexploration) left L4-5 discectomy with laminotomy/lamina removal and nerve root decompression at a single lumbar interspace, which corresponds to CPT 63042. No addit...
Run 2 (23.41s)
63042
The operative note describes a redo (reexploration) left L4-5 lumbar discectomy with repeat exposure/laminotomy and removal of recurrent herniated disc material causing radiculopathy at a single lumba...
Run 3 (14.65s)
63042
The operative report documents a redo (re-exploration) left L4-5 lumbar discectomy for recurrent herniated disk with nerve root decompression at a single interspace, which corresponds to CPT 63042.
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 63042
Run 1 (17.81s)
63042
The procedure performed is a 'Redo L4-5 diskectomy' for a 'Recurrent herniation'. The surgeon excises scar tissue from a previous surgery and removes the recurrent disc herniation. CPT code 63042 repr...
Run 2 (20.99s)
63042
The patient underwent a 'Redo L4-5 diskectomy' for a recurrent herniated disk. The operative note describes excising scar tissue from a previous surgery (re-exploration), identifying the area of the p...
Run 3 (12.24s)
63042
The procedure describes a 'Redo L4-5 diskectomy' involving the excision of scar tissue from previous surgery, identifying the area of previous laminotomy, and removal of recurrent herniated disk fragm...
Dorsal Carpal Ganglion Excision Operative
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
25111
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 25111
Run 1 (16.37s)
25111
This operative note describes a primary excision of a dorsal carpal ganglion cyst from the right wrist. CPT 25111 is the specific code for primary excision of a wrist ganglion (dorsal or volar). The p...
Run 2 (13.25s)
25111
This operative note describes a primary excision of a dorsal carpal ganglion at the wrist. The procedure involved a transverse incision, dissection through subcutaneous tissues, identification and exc...
Run 3 (14.39s)
25111
The operative note describes a primary excision of a dorsal carpal ganglion from the right wrist. CPT 25111 is the appropriate code for primary excision of a wrist ganglion (dorsal or volar). There is...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 25111
Run 1 (23.46s)
25111
Operative note documents an open excision of a right dorsal carpal (wrist) ganglion including removal of the stalk/capsular window, which is specifically reported with CPT 25111. No additional separat...
Run 2 (65.09s)
25111
Operative report documents an open excision of a right dorsal carpal (wrist) ganglion including removal of the cyst and stalk/capsular window. No indication of recurrent ganglion or separate distinct ...
Run 3 (34.42s)
25111
The operative report describes an open excision of a right dorsal carpal (wrist) ganglion including excision of the capsular window and stalk; no other distinct, separately reportable procedures are d...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 25111
Run 1 (17.35s)
25111
The operative report describes the surgical excision of a dorsal carpal ganglion cyst from the right wrist. The surgeon created a transverse incision, dissected down to the mass, identified the stalk ...
Run 2 (10.03s)
25111
The surgeon performed an excision of a dorsal carpal ganglion cyst on the right wrist. The procedure involved dissection, identification of the mass and stalk, and excision from the scapholunate inter...
Run 3 (12.31s)
25111
The procedure note documents the excision of a dorsal carpal ganglion cyst. The surgeon made a transverse incision, identified the mass, traced the stalk to the scapholunate interosseous ligament, and...
Elbow Manipulation
Gold: 3 codes Best: All
Gold Standard Codes (Practitioner Labeled)
243002068020680
Anthropic
P: 100% R: 67% F1: 80% Consistent: ✓
Majority Codes (2+ runs): 2068024300
Run 1 (27.57s)
2430020680
Two distinct procedures were performed: (1) Manipulation of the left elbow under general anesthesia to address postoperative stiffness, with documented improvement in range of motion (extension to 20 ...
Run 2 (19.06s)
2430020680
Two distinct procedures were performed: 1) Manipulation of the elbow under general anesthesia to improve range of motion (documented improvement from 40-100° to 20-120° flexion/extension and improved ...
Run 3 (22.11s)
2430020680
Two distinct procedures were performed: (1) Manipulation of the left elbow under general anesthesia to improve range of motion (extension improved to 20 degrees, flexion to 130 degrees, pronation/supi...
OpenAI
P: 100% R: 67% F1: 80% Consistent: ✗
Majority Codes (2+ runs): 2068024300
Run 1 (21.53s)
2430020680
The operative note documents a left elbow manipulation performed under general anesthesia to improve range of motion, and an open removal of retained deep K-wire/pin hardware from the left elbow requi...
Run 2 (33.44s)
2430020680
The note documents strenuous manipulation of the left elbow performed under general anesthesia to improve range of motion (24300) and surgical removal of retained K-wire/pins requiring incision and di...
Run 3 (56.10s)
2430024160
Operative note documents (1) strenuous manipulation of the left elbow under general anesthesia to improve range of motion, supporting CPT 24300, and (2) open removal of retained deep hardware (K-wires...
Gemini
P: 100% R: 67% F1: 80% Consistent: ✓
Majority Codes (2+ runs): 2068024300
Run 1 (20.65s)
2068024300
Code 20680 is selected for the hardware removal. Although K-wires were removed, the procedure is considered 'deep' rather than 'superficial' (20670) because the operative note documents that a dissect...
Run 2 (20.29s)
2068024300
CPT 20680 is selected for the hardware removal because the procedure note documents an incision through the subcutaneous tissue and specifically an incision into the triceps muscle to visualize and re...
Run 3 (21.99s)
2068024300
CPT 24300 is assigned for the strenuous manipulation of the elbow under general anesthesia to address range of motion deficits (stiffness). CPT 20680 is assigned for the removal of the K-wires. This i...
Endoscopic Carpal Tunnel & de Quervain's Release
Gold: 2 codes Best: All
Gold Standard Codes (Practitioner Labeled)
2984825000
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2500029848
Run 1 (13.95s)
2984825000
Two distinct procedures were performed on the left wrist. The endoscopic carpal tunnel release (29848) involved endoscopic visualization and division of the transverse carpal ligament for carpal tunne...
Run 2 (11.51s)
2984825000
Two distinct procedures were performed on the left wrist. Code 29848 is assigned for the endoscopic carpal tunnel release, which involved endoscopic visualization and division of the transverse carpal...
Run 3 (15.81s)
2984825000
Two distinct procedures were performed on the left wrist. 29848 is assigned for the endoscopic carpal tunnel release, which involved endoscopic visualization and division of the transverse carpal liga...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2500029848
Run 1 (24.42s)
2984825000
Operative note documents an endoscopic release of the transverse carpal ligament for carpal tunnel syndrome (29848) and a first dorsal compartment tendon sheath release for de Quervain’s tenosynovitis...
Run 2 (17.60s)
2984825000
The note documents two distinct procedures: an endoscopic release of the transverse carpal ligament (endoscopic carpal tunnel release) and a first dorsal compartment tendon sheath release at the radia...
Run 3 (24.94s)
2984825000
Operative note documents two distinct left wrist procedures: an endoscopic carpal tunnel release (29848) and a first dorsal compartment release for de Quervain’s tenosynovitis (25000).
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2500029848
Run 1 (11.30s)
2984825000
The surgeon performed two distinct procedures. First, an endoscopic carpal tunnel release was performed, which maps to CPT 29848. Second, a release of the first dorsal compartment (de Quervain's relea...
Run 2 (13.83s)
2984825000
The patient underwent an endoscopic carpal tunnel release, indicated by the use of an endoscopic instrument to visualize and divide the transverse carpal ligament (CPT 29848). Additionally, a separate...
Run 3 (13.29s)
2984825000
CPT 29848 is selected because the procedure note details an endoscopic carpal tunnel release involving a wrist incision, insertion of an endoscopic instrument, and division of the transverse carpal li...
Extensor Tendon Repair
Gold: 1 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
26418
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 26418
Run 1 (20.43s)
26418
The procedure describes a primary repair of an extensor tendon laceration on the little finger, located just proximal to the PIP joint. The repair was performed using a figure-of-eight suture techniqu...
Run 2 (14.70s)
26418
The procedure describes a primary repair of an extensor tendon laceration of the little finger (5th digit) at a location proximal to the PIP joint. The repair was performed with suture (figure-of-eigh...
Run 3 (16.65s)
26418
The procedure describes a primary repair of an extensor tendon laceration on the little finger (5th digit), proximal to the PIP joint, performed with suture repair (4-0 Prolene figure-of-eight) withou...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 26410 ✗ 26418
Run 1 (25.78s)
26410
The note documents surgical suture repair of a lacerated extensor tendon of the left little finger (primary repair, no tendon graft or additional reconstructive procedures described).
Run 2 (33.60s)
26410
Operative report documents primary suture repair of a lacerated extensor tendon of the left little finger without use of a graft; wound irrigation/skin closure are included in the tendon repair.
Run 3 (19.84s)
26410
The procedure performed was a primary suture repair of a lacerated extensor tendon of the left little finger without use of a tendon graft. Skin closure and irrigation are included in the tendon repai...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 26418
Run 1 (22.56s)
26418
The procedure describes the repair of an extensor tendon laceration located on the left little finger (proximal to the PIP joint). CPT 26418 is specific to extensor tendon repair in the finger (as opp...
Run 2 (13.87s)
26418
The patient underwent an open surgical repair of a lacerated extensor tendon on the left little finger. The location is specified as 'just proximal to the PIP joint', which designates the anatomical l...
Run 3 (12.47s)
26418
The patient underwent a repair of a lacerated extensor tendon in the left little finger. The procedure note describes identifying the longitudinal laceration just proximal to the PIP joint (finger ana...
Hemiarthroplasty - Shoulder
Gold: 1 codes
Gold Standard Codes (Practitioner Labeled)
23470
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 23616 ✗ 23470
Run 1 (27.31s)
23616
The procedure performed was a hemiarthroplasty of the left shoulder for a comminuted fracture-dislocation of the proximal humerus. CPT 23616 is the appropriate code as it specifically covers open trea...
Run 2 (29.46s)
23616
The procedure performed was a hemiarthroplasty for a comminuted fracture-dislocation of the proximal humerus. CPT 23616 is the appropriate code for open treatment of a proximal humeral fracture with p...
Run 3 (18.69s)
23470
The procedure performed was a shoulder hemiarthroplasty for a comminuted proximal humerus fracture-dislocation. CPT 23470 is the appropriate code for glenohumeral hemiarthroplasty, which includes the ...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 23616 ✗ 23470
Run 1 (29.09s)
23470
The operative note documents a left shoulder (glenohumeral) hemiarthroplasty with cemented humeral stem and modular humeral head replacement for comminuted proximal humerus fracture-dislocation. No ad...
Run 2 (22.38s)
23616
Operative note documents hemiarthroplasty (proximal humeral prosthetic replacement) performed for a comminuted proximal humerus fracture-dislocation with tuberosity repair, which is reported with CPT ...
Run 3 (24.31s)
23616
The operative report documents a left shoulder hemiarthroplasty performed as treatment for a comminuted proximal humerus fracture/dislocation with placement of a cemented humeral stem and modular head...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 23616 ✗ 23470
Run 1 (30.11s)
23615
The procedure performed is a hemiarthroplasty of the left shoulder indicated by a comminuted proximal humerus fracture and dislocation. CPT code 23615 is selected over the elective hemiarthroplasty co...
Run 2 (16.06s)
23616
The procedure performed was a hemiarthroplasty (prosthetic replacement of the humeral head) for a diagnosis of a comminuted fracture/dislocation of the proximal humerus. CPT code 23616 specifically de...
Run 3 (15.03s)
23616
The procedure performed is a hemiarthroplasty for a comminuted fracture and dislocation of the left proximal humerus. The operative note details the removal of the fractured humeral head, the cementin...
I&D & Open Reduction - Forearm
Gold: 2 codes
Gold Standard Codes (Practitioner Labeled)
2551525545
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 1101225574 ✗ 25515✗ 25545
Run 1 (109.75s)
1101225574
Two distinct procedures were performed: (1) The I&D code 11012 is appropriate as the surgeon performed debridement of skin edges, subcutaneous tissue, muscle, and small bony fragments at the site of t...
Run 2 (117.78s)
110122551525535
This Grade 1 compound (open) fracture required: 1) 11012 - Debridement of the open fracture wound involving skin, subcutaneous tissue, muscle, and small bony fragments with 6L antibiotic irrigation. 2...
Run 3 (131.16s)
1101225574
11012 is assigned for the irrigation and debridement of the Grade 1 open (compound) fracture, which included debridement of nonviable skin edges, subcutaneous tissue, muscle, and removal of small bony...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 1101225575 ✗ 25515✗ 25545
Run 1 (91.39s)
1101225575
Operative note documents a Grade 1 open both-bone (radius/ulna) forearm fracture with surgical irrigation/debridement extending through muscle and bone (11012) and open reduction/open treatment of bot...
Run 2 (156.41s)
1101225574
Operative note documents irrigation/debridement down to bone for a Grade 1 open both-bone forearm fracture (11012) and open reduction/open treatment of displaced mid-shaft radius and ulna fractures wi...
Run 3 (95.92s)
1101225575
Operative note documents a grade 1 open both-bone (radius and ulna) mid-shaft forearm fracture treated with excisional debridement down to bone (skin/subcutaneous/muscle and bony fragments removed) an...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 1101225565 ✗ 25515✗ 25545
Run 1 (43.95s)
2556511012
CPT 11012 is selected for the extensive irrigation and debridement of the open (compound) fracture wound which involved removal of nonviable tissue from skin, subcutaneous tissue, muscle, and bone. CP...
Run 2 (35.28s)
2556511012
CPT 11012 is assigned because the patient had an open (compound) fracture requiring extensive irrigation and debridement involving skin, subcutaneous tissue, muscle, and removal of bone fragments. CPT...
Run 3 (61.65s)
255152553511012
The patient presented with a compound (open) fracture of both the radius and ulna shafts. CPT 11012 is selected because the provider performed an excisional debridement of the open fracture site invol...
Knee Arthroplasty
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
27447
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27447
Run 1 (27.60s)
27447
This procedure note describes a right total knee arthroplasty with implantation of femoral, tibial, and patellar components (Zimmer NexGen system). CPT 27447 is the appropriate code for a total knee r...
Run 2 (26.44s)
27447
This procedure note documents a right total knee arthroplasty with implantation of femoral, tibial, and patellar components using cement fixation (polymethyl methacrylate). CPT 27447 is the appropriat...
Run 3 (30.91s)
27447
This operative note describes a right total knee arthroplasty with placement of femoral, tibial, and patellar components (Zimmer NexGen system). CPT 27447 is the appropriate code for total knee arthro...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27447
Run 1 (29.84s)
27447
Operative note documents a right total knee arthroplasty with resurfacing/replacement of the patella; these elements are captured by CPT 27447. Other intraoperative steps (e.g., lateral release for tr...
Run 2 (41.32s)
27447
The operative note documents a right total knee arthroplasty with implantation of femoral, tibial, polyethylene insert, and patellar components. The patellar resurfacing and intraoperative lateral rel...
Run 3 (12.18s)
27447
The note documents a right total knee arthroplasty (medial and lateral compartments) with patellar resurfacing. The described lateral release and other steps are considered integral to the total knee ...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27447
Run 1 (21.45s)
27447
The procedure note details a Right Total Knee Arthroplasty (TKA). The surgeon resects the distal femur and proximal tibia (medial and lateral compartments) and implants femoral, tibial, and patellar c...
Run 2 (572.29s)
27447
The surgeon performed a total knee arthroplasty on the right knee, replacing the femoral and tibial components and resurfacing the patella. The procedure notes a lateral release was performed for pate...
Run 3 (18.46s)
27447
The surgeon performed a total knee arthroplasty (TKA) on the right knee. This involved the resection of the distal femur and proximal tibia (medial and lateral compartments) and the implantation of fe...
Kyphoplasty
Gold: 2 codes Best: Gemini
Gold Standard Codes (Practitioner Labeled)
2251322515
Anthropic
P: 67% R: 100% F1: 80% Consistent: ✓
Majority Codes (2+ runs): 202252251322515
Run 1 (29.89s)
225132251520225
22513 is assigned for the primary balloon kyphoplasty performed at T12 (thoracic vertebral body) with bilateral cannulation and cement injection. 22515 is the add-on code for the additional kyphoplast...
Run 2 (31.38s)
225132251520225
Balloon kyphoplasty was performed on two vertebral levels: T12 (thoracic) and L1 (lumbar). The primary kyphoplasty code 22513 is assigned for the thoracic vertebral body (T12), which was the first lev...
Run 3 (43.90s)
225132251520225
22513 is assigned for the primary balloon kyphoplasty procedure performed at T12 (thoracic level) with bilateral transpedicular approach, balloon inflation for cavity creation/fracture reduction, and ...
OpenAI
P: 67% R: 100% F1: 80% Consistent: ✗
Majority Codes (2+ runs): 202252251322515
Run 1 (69.26s)
225132251520225
Balloon kyphoplasty with cavity creation and cement injection was performed at T12 (thoracic) and at an additional level L1 (reported with add-on 22515). The note also documents a medically necessary ...
Run 2 (86.44s)
225132251520225
Balloon kyphoplasty with cement was performed at T12 (thoracic—reported with 22513) and at L1 as an additional vertebral level (reported with add-on 22515). A medically necessary bone biopsy was also ...
Run 3 (174.55s)
2251322515
Operative note documents balloon kyphoplasty with cement augmentation at T12 (thoracic) and L1 (lumbar), requiring one primary vertebral augmentation code for each spinal region. Fluoroscopic guidance...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2251322515
Run 1 (28.85s)
2251322515
The procedure performed is a percutaneous vertebral augmentation (kyphoplasty) using a balloon tamp and cement at two levels: T12 and L1. CPT code 22513 is assigned for the primary thoracic level (T12...
Run 2 (22.20s)
2251322515
The patient underwent percutaneous vertebral augmentation (kyphoplasty) using a balloon tamp (mechanical device) at two levels: T12 and L1. Code 22513 represents the primary thoracic level (T12). Code...
Run 3 (24.64s)
2251322515
The patient underwent Kyphoplasty at two levels: T12 and L1. CPT 22513 is assigned for the primary level (thoracic T12). CPT 22515 is assigned for the second, additional level (lumbar L1). The code de...
Laminectomy & Foraminotomy & Cervical Fusion
Gold: 0 codes
Gold Standard Codes (Practitioner Labeled)
No gold standard available
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 2093722600228406302063035
Run 1 (66.72s)
6302063035226002284020937
The procedure involved: (1) Cervical laminotomy with foraminotomy for C5 and C6 nerve root decompression at two interspaces (C4-C5 and C5-C6), coded as 63020 for the first interspace and 63035 for the...
Run 2 (39.23s)
6302063035226002284020937
The procedure involved: (1) Left-sided cervical laminectomy at C4-C5 and C5-C6 with foraminotomy for C5 and C6 nerve root decompression - coded as 63020 for first interspace and 63035 for additional i...
Run 3 (130.21s)
6302063035226002284020937
The procedure involved: (1) Posterior cervical decompression via left hemilaminectomy at C4-C5 and C5-C6 with foraminotomies for C5 and C6 nerve roots - coded as 63020 for the first interspace and 630...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 2093722600228406304563048
Run 1 (148.43s)
6302063035226002284020937
The note documents posterior cervical decompression with left-sided laminotomy/foraminotomies at two interspaces (C4-5 and C5-6) (63020 + 63035), posterior cervical fusion at C4-5 (22600), stabilizati...
Run 2 (53.81s)
6304563048226002284020937
Operative note documents posterior cervical decompression with left laminectomy/foraminotomies at C4-5 and C5-6 (63045 for first cervical segment + 63048 for additional segment). Micromotion at C4-5 l...
Run 3 (85.13s)
6304563048226002284020937
Posterior cervical decompression with left laminectomy/foraminotomies performed at two levels (C4-5 and C5-6) supports 63045 + 63048. Posterior cervical fusion performed at C4-5 supports 22600. Songer...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 2093722600228406304563048
Run 1 (87.70s)
2260063045630482284020937
The procedure is a posterior cervical fusion (22600) at C4-C5. Note the header incorrectly states 'lumbar' but the body confirms cervical C4-C6. Decompression was performed for stenosis/radiculopathy ...
Run 2 (78.64s)
2260063045630482284120937
The patient underwent a posterior cervical fusion at C4-C5 (CPT 22600). Decompression was performed at two levels (C4-C5 and C5-C6) involving laminectomy and neural foraminotomy for nerve root stenosi...
Run 3 (94.20s)
22600630452284020937
1. CPT 22600 is selected for the posterior cervical fusion (arthrodesis) performed at the C4-C5 level. 2. CPT 63045 is selected for the decompressive laminectomy (hemilaminectomy of C5) and neural fo...
Lumbar Laminotomy & Discectomy
Gold: 0 codes
Gold Standard Codes (Practitioner Labeled)
No gold standard available
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 63030
Run 1 (57.50s)
6303020926
63030 is the primary code for the lumbar laminotomy with discectomy at L5-S1, which inherently includes the foraminotomy that was performed. The code covers single interspace lumbar procedures with ne...
Run 2 (23.79s)
63030
The procedure performed was a microscopic-assisted lumbar laminotomy with discectomy at L5-S1 on the left side. CPT 63030 is the appropriate code for a single-level lumbar laminotomy with nerve root d...
Run 3 (78.06s)
6303069990
The primary procedure is a lumbar microdiscectomy at a single level (L5-S1). CPT 63030 covers the laminotomy, nerve root decompression, foraminotomy, and disc excision at one lumbar interspace - all e...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 6303069990
Run 1 (25.78s)
6303069990
Operative note documents a single-level L5-S1 lumbar laminotomy/nerve root decompression with excision of herniated disc material (discectomy) and foraminotomy. Procedure was performed with an operati...
Run 2 (49.10s)
6303069990
The operative note documents a single-level (L5-S1) lumbar laminotomy with nerve root decompression and discectomy for a herniated disc; the foraminotomy performed is included in CPT 63030. The surgeo...
Run 3 (48.56s)
6303069990
The operative note documents a single-level (L5-S1) lumbar laminotomy/hemilaminectomy with nerve root decompression and discectomy for herniated disc, with foraminotomy performed as part of the decomp...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 6303069990
Run 1 (23.07s)
6303069990
The procedure performed was a microscopic assisted lumbar laminotomy with discectomy at the L5-S1 level. CPT code 63030 represents a lumbar laminotomy (hemilaminectomy) with excision of a herniated in...
Run 2 (18.04s)
6303069990
The surgeon performed a laminotomy with discectomy and foraminotomy at a single lumbar interspace (L5-S1) to treat a herniated nucleus pulposus, which is reported with code 63030. The operative note d...
Run 3 (19.51s)
63030
The surgeon performed a unilateral laminotomy at the L5-S1 level (one interspace, lumbar) to access and remove a herniated disc (discectomy). A foraminotomy was also performed to decompress the nerve ...
Meniscoplasty & Chondroplasty
Gold: 2 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
2988029879
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2987929880
Run 1 (60.04s)
2988029879
29880 is assigned for the bilateral (medial AND lateral) meniscectomy/meniscoplasty performed. This code includes the chondroplasty procedures performed on the patella, medial femoral condyle, and lat...
Run 2 (64.91s)
2988029879
29880 is assigned for the bilateral (medial AND lateral) meniscoplasty/partial meniscectomy procedures. This code also includes the chondroplasty performed in multiple compartments (medial femoral con...
Run 3 (88.67s)
2988029879
29880 is assigned for the medial AND lateral meniscoplasties (partial meniscectomies) performed on both menisci. This code also inherently includes the chondroplasties (patellar, lateral femoral condy...
OpenAI
P: 67% R: 100% F1: 80% Consistent: ✗
Majority Codes (2+ runs): 298772987929880
Run 1 (59.66s)
298802987929877
The operative note documents arthroscopic debridement/meniscoplasty of both the medial and lateral menisci (29880), microfracture/multiple drilling of an osteochondral lesion of the medial femoral con...
Run 2 (515.06s)
298792988129877
Operative note documents arthroscopic microfracture of the medial femoral condyle (29879), arthroscopic meniscal debridement/partial meniscectomy (lateral meniscoplasty) (29881), and arthroscopic chon...
Run 3 (74.72s)
298802987929877
Operative note documents arthroscopic meniscal debridement/partial meniscectomy of both the medial and lateral menisci (meniscoplasty) supporting 29880. Medial femoral condyle osteochondral lesion tre...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 2987929880
Run 1 (32.13s)
2988029879
The patient underwent an arthroscopy of the right knee. The operative report documents a 'Medial meniscoplasty' and 'Lateral meniscoplasty' where both menisci were debrided and smoothed due to tears/f...
Run 2 (42.02s)
2988029879
The patient underwent an arthroscopy of the right knee. The surgeon performed meniscoplasties (partial meniscectomies) in both the medial and lateral compartments (noted as 'Medial meniscoplasty' and ...
Run 3 (32.77s)
2988029879
The procedure note documents a diagnostic arthroscopy that converted to a surgical procedure. The surgeon performed a medial meniscoplasty (debridement of the posterior horn of the medial meniscus) an...
ORIF - 3
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
27513
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27513
Run 1 (33.29s)
27513
The procedure describes open reduction internal fixation of a left supracondylar, intercondylar distal femur fracture. CPT 27513 is the appropriate code for open treatment of a femoral supracondylar/t...
Run 2 (37.27s)
27513
The procedure describes an ORIF of a left supracondylar, intercondylar distal femur fracture with intercondylar split and medial Hoffa fracture. CPT 27513 is the appropriate code for open treatment of...
Run 3 (29.55s)
27513
The procedure describes open reduction internal fixation of a left supracondylar, intercondylar distal femur fracture. CPT 27513 is the appropriate code as it specifically covers open treatment of sup...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27513
Run 1 (25.91s)
27513
The operative note documents open reduction and internal fixation of a left supracondylar distal femur fracture with intercondylar extension (intercondylar split/Hoffa components) using screws and a l...
Run 2 (13.70s)
27513
Operative note documents open reduction and internal fixation (plate and screws) of a left distal femur supracondylar fracture with intercondylar extension, which is specifically reported with CPT 275...
Run 3 (23.57s)
27513
The operative report documents an open reduction and internal fixation (plate and multiple screws) of a left supracondylar distal femur fracture with intercondylar (intra-articular) extension, matchin...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27513
Run 1 (17.19s)
27513
The procedure performed was an Open Reduction Internal Fixation (ORIF) of the distal femur. The operative note specifies a 'supracondylar, intercondylar distal femur fracture' with an 'intercondylar s...
Run 2 (12.87s)
27513
The procedure performed was an open reduction and internal fixation (ORIF) of a distal femur fracture. The documentation specifies a 'supracondylar, intercondylar distal femur fracture' with an 'inter...
Run 3 (23.76s)
27513
The procedure described is an Open Reduction Internal Fixation (ORIF) of the distal femur. The diagnosis and operative findings confirm a supracondylar fracture that extends into the joint (intercondy...
ORIF - Fifth Metatarsal
Gold: 1 codes Best: Gemini
Gold Standard Codes (Practitioner Labeled)
28485
Anthropic
P: 50% R: 100% F1: 67% Consistent: ✗
Majority Codes (2+ runs): 2848529515
Run 1 (62.90s)
2848529515
The operative note documents an open reduction and internal fixation of a right fifth metatarsal fracture using a single cannulated screw (28485). The procedure included incision, exposure of the frac...
Run 2 (48.16s)
2832229515
The operative note describes treatment of a fifth metatarsal fracture that had developed pseudoarthrosis (nonunion). Key findings supporting nonunion repair (28322) over acute fracture treatment inclu...
Run 3 (50.18s)
2848529515
The primary procedure is open reduction and internal fixation of the right fifth metatarsal fracture using a 4.0mm cannulated screw, which is accurately captured by 28485. This code includes the incis...
OpenAI
P: 50% R: 100% F1: 67% Consistent: ✓
Majority Codes (2+ runs): 2848529515
Run 1 (44.57s)
2848529515
The operative note documents open reduction with internal screw fixation of the right fifth metatarsal fracture (28485) and placement of a well-padded posterior short-leg splint (29515).
Run 2 (31.15s)
2848529515
The note documents open reduction and internal screw fixation of a right fifth metatarsal fracture (ORIF of metatarsal) and application of a postoperative short leg posterior splint.
Run 3 (65.84s)
2848529515
The note documents open reduction and internal screw fixation of the right fifth metatarsal fracture (open treatment with internal fixation) and placement of a postoperative short leg posterior splint...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 28485
Run 1 (35.30s)
28485
The patient underwent an open reduction and internal fixation (ORIF) of a right fifth metatarsal fracture. The procedure involved an incision to expose the fracture site, debridement of hypertrophic b...
Run 2 (24.44s)
28485
The patient underwent an open reduction and internal fixation (ORIF) of the right fifth metatarsal fracture. The surgeon made an incision to expose the fracture site (open treatment), prepared the bon...
Run 3 (50.32s)
28485
The procedure performed is an open reduction and internal fixation (ORIF) of the right fifth metatarsal fracture. The surgeon makes an incision, exposes the fracture site, prepares the bone (debriding...
ORIF - Left Tibia
Gold: 1 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
27540
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27540
Run 1 (64.17s)
27540
The procedure performed was an open reduction and internal fixation (ORIF) of a tibial tubercle (tuberosity) avulsion fracture with intraarticular extension. CPT code 27540 specifically covers open tr...
Run 2 (70.05s)
27540
This procedure involves open reduction and internal fixation of a left tibial tubercle (tuberosity) avulsion fracture with intraarticular extension. CPT 27540 is the appropriate code as it specificall...
Run 3 (33.48s)
27540
The procedure describes open reduction and internal fixation of a comminuted tibial tubercle avulsion fracture with intraarticular extension. CPT 27540 specifically covers open treatment of knee tuber...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 27535 ✗ 27540
Run 1 (68.86s)
27535
The operative note documents an open reduction and internal fixation of a proximal tibial (tibial tubercle) avulsion fracture with intra-articular extension using K-wires and screws. Drain placement, ...
Run 2 (212.83s)
27535
The operative report documents an open reduction and internal fixation of a comminuted proximal tibial/tibial tubercle fracture with intra-articular extension using K-wires and screws. No separate, di...
Run 3 (189.24s)
27535
The operative report documents an open reduction and internal fixation (K-wires and screws with washers) of a comminuted proximal tibial/tibial tubercle avulsion fracture with intra-articular extensio...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27540
Run 1 (14.75s)
27540
The procedure note describes an open reduction and internal fixation (ORIF) of a tibial tubercle (tuberosity) avulsion fracture. The surgeon made an incision, reduced the fracture fragments (including...
Run 2 (14.43s)
27540
The patient's diagnosis is a tibial tubercle avulsion fracture. The surgeon performed an open reduction and internal fixation (ORIF) utilizing K-wires, a cortical screw, and a cancellous screw. CPT co...
Run 3 (13.80s)
27540
The procedure performed is an Open Reduction and Internal Fixation (ORIF) of a left tibial tubercle avulsion fracture. The surgeon made an incision (open treatment), reduced the fracture (including th...
ORIF - Malleolus
Gold: 1 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
27792
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27792
Run 1 (13.91s)
27792
The procedure describes open reduction and internal fixation of a lateral malleolus (distal fibula) fracture. CPT 27792 is the specific code for open treatment of a distal fibular fracture with intern...
Run 2 (17.52s)
27792
The procedure describes an open reduction and internal fixation (ORIF) of a lateral malleolus fracture. CPT 27792 is the specific code for open treatment of distal fibular fracture (lateral malleolus)...
Run 3 (17.49s)
27792
The procedure describes an open reduction and internal fixation of a lateral malleolus (distal fibula) fracture. CPT 27792 is the appropriate code for open treatment of a distal fibula/lateral malleol...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): None ✗ 27792
Run 1 (20.14s)
27786
Operative note documents open reduction and internal fixation (plate and screws) of a left lateral malleolus (distal fibula) fracture without additional malleolar fixation or syndesmotic stabilization...
Run 2 (19.23s)
27766
The note documents an open reduction and internal fixation of an isolated displaced lateral malleolus (distal fibula) fracture using an interfragmentary screw and a plate with screws. No syndesmotic f...
Run 3 (8.68s)
27792
The operative note describes an open reduction and internal fixation of a displaced left lateral malleolus (distal fibula) fracture using an interfragmentary screw and a lateral plate with screws, whi...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27792
Run 1 (13.71s)
27792
The operative report describes an Open Reduction and Internal Fixation (ORIF) of a left lateral malleolus fracture. The surgeon made an incision to expose the fracture (open treatment), reduced the fr...
Run 2 (16.43s)
27792
The procedure note describes an open reduction and internal fixation (ORIF) of a left lateral malleolus fracture. An incision was made to expose the fracture, and it was fixed using an interfragmentar...
Run 3 (11.32s)
27792
The patient presented with a displaced lateral malleolus fracture. The surgeon performed an open reduction and internal fixation (ORIF) involving a longitudinal incision over the lateral malleolus, re...
ORIF - Talus
Gold: 3 codes Best: Anthropic
Gold Standard Codes (Practitioner Labeled)
284452770527695
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✗
Majority Codes (2+ runs): 276952770528445
Run 1 (64.54s)
284452770527695
28445 is assigned for the ORIF of the Hawkins IV talus fracture with cannulated screw fixation. 27705 is assigned for the medial malleolus osteotomy (box osteotomy of the distal tibia), which was perf...
Run 2 (91.98s)
2844527695
28445 is assigned for the open reduction internal fixation of the Hawkins IV talus fracture, which was performed using a 7.0mm partially threaded cannulated screw placed from posterolateral to anterom...
Run 3 (59.31s)
284452770527695
28445 is assigned for the open reduction internal fixation of the Hawkins IV talus fracture with placement of a partially threaded 7.0 mm cannulated screw. 27705 is assigned for the medial malleolar o...
OpenAI
P: 100% R: 67% F1: 80% Consistent: ✓
Majority Codes (2+ runs): 2769528445 ✗ 27705
Run 1 (75.29s)
2844527695
The operative note documents open reduction and internal fixation of a comminuted Hawkins IV talus fracture using cannulated screw fixation (28445). It also documents direct suture repair of a traumat...
Run 2 (104.57s)
2844527695
The note documents open reduction and internal fixation of a comminuted Hawkins IV talus fracture with cannulated screw fixation (28445). It also documents suture repair of an injured/ruptured deltoid...
Run 3 (91.45s)
2844527695
The note documents open reduction and internal fixation of a comminuted Hawkins IV talus fracture using cannulated screws (28445) and a primary repair of the ruptured deltoid (medial collateral) ankle...
Gemini
P: 100% R: 67% F1: 80% Consistent: ✗
Majority Codes (2+ runs): 2769528445 ✗ 27705
Run 1 (28.37s)
2844527695
CPT 28445 is selected for the open reduction and internal fixation (ORIF) of the Hawkins IV talus fracture. The procedure involved an open incision and direct visualization of the fracture site. The m...
Run 2 (27.78s)
2843027695
CPT 28430 is selected for the open reduction and internal fixation (ORIF) of the Hawkins IV talus fracture. Although the screw was introduced percutaneously, the procedure involved a 10 cm incision, m...
Run 3 (42.25s)
28445
The procedure performed is an Open Reduction Internal Fixation (ORIF) of a Hawkins IV talus fracture. This maps to CPT 28445. The medial malleolus osteotomy described in the note was performed specifi...
Open Plantar Fasciotomy
Gold: 1 codes Best: OpenAI
Gold Standard Codes (Practitioner Labeled)
28060
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): None ✗ 28060
Run 1 (25.96s)
28250
The procedure performed was an open plantar fasciotomy involving transection (division/release) of the medial two-thirds of the plantar fascia band at its origin on the calcaneal tubercle. CPT 28250 i...
Run 2 (30.07s)
28008
The procedure performed was an open plantar fasciotomy involving transection/release of the medial two-thirds of the plantar fascia at its calcaneal origin. CPT 28008 is the appropriate code for fasci...
Run 3 (21.36s)
28060
The procedure describes an open plantar fasciotomy for chronic plantar fasciitis where the medial two-thirds of the plantar fascia band was transected while the lateral plantar fascial band was left i...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 28060
Run 1 (30.50s)
28060
The procedure performed was an open plantar fasciotomy of the right foot with transection/release of the medial/central plantar fascial bands; no other separately reportable surgical procedures are do...
Run 2 (24.43s)
28060
The operative note documents an open plantar fasciotomy on the right foot with surgical transection/release of the medial/central plantar fascial bands. No additional separately reportable procedures ...
Run 3 (22.98s)
28060
Procedure performed was an open plantar fasciotomy (transection/release of the medial portion of the plantar fascia) on the right foot; no additional separately billable surgical procedures were docum...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 28008 ✗ 28060
Run 1 (27.29s)
28008
The procedure note describes an 'Open plantar fasciotomy'. The surgeon made an incision, identified the plantar fascia, and performed a 'transection' (cutting/division) of the medial two-thirds of the...
Run 2 (25.20s)
28008
The procedure documented is an open plantar fasciotomy. The surgeon made an incision to access the plantar fascia and performed a transection (cutting/division) of the medial and central plantar fasci...
Run 3 (30.67s)
28008
The procedure performed is an open plantar fasciotomy. The surgeon made an incision and performed a transection (division) of the medial two-thirds of the plantar fascia band to treat chronic plantar ...
Pilon Fracture External Fixation
Gold: 2 codes Best: Anthropic Gemini
Gold Standard Codes (Practitioner Labeled)
2782628495
Anthropic
P: 50% R: 50% F1: 50% Consistent: ✗
Majority Codes (2+ runs): 2069028495 ✗ 27826
Run 1 (58.87s)
2069028495
1) CPT 20690 is appropriate for the external fixation of the left pilon fracture as described - a spanning external fixator was applied using a transcalcaneal cross pin and two Schantz pins in the pro...
Run 2 (57.60s)
278252069028495
The pilon fracture (distal tibia) was treated with closed reduction via manipulation and skeletal traction using a spanning external fixator (calcaneal transfixion pin and tibial Schanz pins with fram...
Run 3 (86.57s)
2069028495
Two distinct procedures were performed: (1) External fixation of the left pilon fracture using a uniplane spanning frame with transcalcaneal cross pin and two tibial Schantz pins - this is a staging p...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 2069028515 ✗ 27826✗ 28495
Run 1 (167.12s)
278252069028495
Operative note documents manipulation/traction to restore alignment of the pilon fracture followed by application of a unilateral frame-type external fixator (tibial Schanz pins and transcalcaneal pin...
Run 2 (113.91s)
2069028515
Operative note documents placement of a spanning external fixator for the left pilon (distal tibia) fracture (transcalcaneal pin and tibial Schanz pins with frame assembly), and a separate closed redu...
Run 3 (172.03s)
206902782628515
Note documents staged spanning external fixation for a left pilon (distal tibial plafond) fracture with closed manipulation/reduction under fluoroscopy and placement of an external fixator frame (2069...
Gemini
P: 50% R: 50% F1: 50% Consistent: ✗
Majority Codes (2+ runs): 2069028495 ✗ 27826
Run 1 (35.83s)
2069028495
CPT 20690 is selected for the application of the external fixator (Schantz pins in tibia and transcalcaneal pin). This is a staged procedure (damage control) for the comminuted pilon fracture; therefo...
Run 2 (41.19s)
2069228495
1. CPT 20692: The surgeon performed external fixation of the left pilon fracture. The note describes placing a 'transcalcaneal cross stent' (pin placed transversely through the calcaneus) and '2 Schan...
Run 3 (23.24s)
2069028495
For the left pilon fracture (distal tibia), the surgeon applied a frame-type external fixator using Schantz pins in the tibia and a transcalcaneal pin. This is a staged procedure for stabilization, co...
Right Shoulder Hemiarthroplasty
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
23470
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 23470
Run 1 (31.49s)
23470
The procedure performed was a right shoulder hemiarthroplasty with a cemented humeral stem (DePuy 10mm) and articulating humeral head component (44x21mm). The glenoid surface was evaluated and found t...
Run 2 (25.31s)
23470
The procedure performed was a right shoulder hemiarthroplasty with a cemented humeral stem (DePuy 10mm) and articulating head (44x21mm). Only the humeral component was replaced as the glenoid had 'goo...
Run 3 (27.73s)
23470
The procedure performed was a right shoulder hemiarthroplasty with a cemented humeral stem and articulating head. Only the humeral component was replaced (DePuy 10mm stem with 44x21mm head); the gleno...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 23470
Run 1 (16.92s)
23470
The procedure performed is an open right shoulder hemiarthroplasty with implantation of a humeral stem and articulating humeral head; the glenoid was evaluated and left intact, and no separate reporta...
Run 2 (15.66s)
23470
Operative note documents an open right shoulder (glenohumeral) hemiarthroplasty with replacement of the humeral head/stem only (cemented humeral component) and no glenoid component placed, which match...
Run 3 (20.16s)
23470
Operative note documents an open right shoulder hemiarthroplasty with humeral head resection and implantation of a cemented humeral stem and articulating head, with the glenoid left intact (no total/r...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 23470
Run 1 (18.26s)
23470
The surgeon performed a right shoulder hemiarthroplasty via a deltopectoral approach. The note describes the resection of the humeral head and the insertion of a cemented humeral stem with an articula...
Run 2 (21.09s)
23470
The surgeon performed a right shoulder hemiarthroplasty. The procedure note details the removal of the humeral head and the insertion of a cemented humeral stem with an articulating head (DePuy system...
Run 3 (21.95s)
23470
The procedure note describes a right shoulder hemiarthroplasty performed via a deltopectoral approach. The humeral head was resected and replaced with a cemented stem and articulating head prosthesis....
Superior Labrum Lesions Repair
Gold: 0 codes
Gold Standard Codes (Practitioner Labeled)
No gold standard available
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 29807
Run 1 (21.25s)
29807
The procedure describes a shoulder arthroscopy with identification and repair of a SLAP (Superior Labrum Anterior to Posterior) tear using a knotless suture anchor. CPT 29807 specifically covers arthr...
Run 2 (14.87s)
29807
The procedure describes a shoulder arthroscopy with identification and repair of a SLAP (Superior Labrum Anterior to Posterior) tear using a knotless suture anchor. CPT 29807 specifically covers arthr...
Run 3 (16.69s)
29807
The procedure describes a shoulder arthroscopy with identification and repair of a SLAP (Superior Labrum Anterior to Posterior) tear using a knotless suture anchor. CPT 29807 specifically covers arthr...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 29807
Run 1 (18.54s)
29807
Operative note documents shoulder arthroscopy identifying a SLAP tear posterior to the biceps and performing arthroscopic repair using a drill hole and knotless suture anchor. Diagnostic arthroscopy i...
Run 2 (18.12s)
29807
Operative note describes diagnostic shoulder arthroscopy identifying a SLAP tear posterior to the biceps and placement of a knotless suture anchor (drill hole/anchor) to repair the lesion. No rotator ...
Run 3 (20.28s)
29807
Operative note documents shoulder arthroscopy with identification of a SLAP tear and repair using a drill hole and knotless suture anchor, consistent with CPT 29807. Diagnostic arthroscopy steps and l...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 29807
Run 1 (12.80s)
29807
The patient underwent a shoulder arthroscopy. During the inspection, a SLAP (Superior Labrum Anterior and Posterior) tear was identified just posterior to the biceps. The surgeon repaired this lesion ...
Run 2 (11.69s)
29807
The procedure note details a shoulder arthroscopy where the surgeon identified a SLAP (Superior Labrum Anterior and Posterior) tear and repaired it using a knotless suture anchor. The diagnostic arthr...
Run 3 (15.29s)
29807
The procedure note describes a diagnostic arthroscopy of the shoulder which revealed a SLAP (Superior Labrum Anterior and Posterior) tear. The surgeon proceeded to repair this tear using a drill hole ...
Thumb Soft Tissue Mass Excision
Gold: 1 codes
Gold Standard Codes (Practitioner Labeled)
11422
Anthropic
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 26111 ✗ 11422
Run 1 (41.63s)
26111
The procedure describes excision of a soft tissue mass from the thumb (digit of the hand) at the IP joint. The operative note indicates the incision was carried through skin and subcutaneous tissue wa...
Run 2 (31.87s)
26111
The procedure describes excision of a subcutaneous soft tissue mass (clinically appearing as epidermal inclusion cysts) from the thumb at the IP joint. The thumb is anatomically part of the hand/finge...
Run 3 (23.90s)
26111
The procedure describes excision of a soft tissue mass from the thumb (finger). The mass was located in the subcutaneous tissue at the IP joint level, accessed by incising through skin and dividing su...
OpenAI
P: 0% R: 0% F1: 0% Consistent: ✗
Majority Codes (2+ runs): 26111 ✗ 11422
Run 1 (49.55s)
26111
The operative note documents excision/removal of a left thumb soft tissue mass via skin incision with dissection and removal of subcutaneous nodules; no deep (beneath fascia/tendon sheath) excision or...
Run 2 (33.73s)
26115
The note documents excision of a soft tissue mass on the left thumb with dissection into subcutaneous tissue and removal of nodules; no involvement of tendon sheath, joint capsule, or other deep struc...
Run 3 (145.02s)
26111
Operative note documents excision of a left thumb soft tissue mass with dissection in the subcutaneous tissue (no deep fascial/muscle involvement described) and routine closure; this matches excision ...
Gemini
P: 0% R: 0% F1: 0% Consistent: ✓
Majority Codes (2+ runs): 26115 ✗ 11422
Run 1 (48.24s)
26115
The procedure is described as the excision of a soft tissue mass from the left thumb. The operative report details an incision carried through the skin with dissection of the underlying subcutaneous t...
Run 2 (29.29s)
26115
The procedure performed was the excision of a soft tissue mass located in the subcutaneous tissue of the left thumb. The operative note describes an incision through the skin and dissection of subcuta...
Run 3 (19.81s)
26115
The procedure performed was the excision of a soft tissue mass located in the subcutaneous tissue of the left thumb. The surgeon incised the skin, divided subcutaneous tissue, and removed the mass (no...
Total Hip Arthroplasty
Gold: 1 codes Best: All
Gold Standard Codes (Practitioner Labeled)
27130
Anthropic
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27130
Run 1 (26.10s)
27130
This operative note describes a primary total hip arthroplasty performed via anterolateral approach for degenerative arthritis. The procedure involved acetabular preparation with reaming and placement...
Run 2 (18.96s)
27130
This operative note describes a primary total hip arthroplasty performed for degenerative arthritis of the left hip. The procedure included preparation of the acetabulum with reaming and placement of ...
Run 3 (29.28s)
27130
This operative note describes a primary total hip arthroplasty performed via an anterolateral approach for left hip degenerative arthritis. The procedure included acetabular preparation with reaming f...
OpenAI
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27130
Run 1 (17.95s)
27130
Operative note documents a primary left total hip arthroplasty with implantation of an acetabular cup/liner and femoral stem/head. Other described steps (approach, capsulotomy, trialing, soft-tissue r...
Run 2 (17.60s)
27130
The procedure performed is a primary left total hip arthroplasty with implantation of both acetabular (cup/liner with screws) and femoral (stem/head) components; other steps (exposure, capsulotomy, so...
Run 3 (10.28s)
27130
The operative report documents a primary left total hip arthroplasty with implantation of an acetabular cup/liner and femoral stem/head, which is reported with CPT 27130. No other clearly distinct, se...
Gemini
P: 100% R: 100% F1: 100% Consistent: ✓
Majority Codes (2+ runs): 27130
Run 1 (13.95s)
27130
The procedure performed was a total hip arthroplasty on the left side for degenerative arthritis. The operative note details the resection of the femoral head, reaming of the acetabulum, and insertion...
Run 2 (15.41s)
27130
The procedure documented is a primary total hip arthroplasty on the left hip. The surgeon replaced both the acetabular component (reaming the acetabulum and inserting a cup/liner) and the femoral comp...
Run 3 (15.23s)
27130
The patient underwent a primary Total Hip Arthroplasty (THA) on the left hip due to degenerative arthritis. The procedure involved the removal of the femoral head, reaming of the acetabulum, and impla...