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Every release and every piece of in-flight work for Medical Auto Coding. Filter by status, kind, or tag, then read the full notes below.
| Status | Kind | What changed | Version | Ticket | Date |
|---|---|---|---|---|---|
| Fix merged | Improvement | Nerve block lines: a diagnosis removed after claim cleaning is now shown to you | No version | No ticket | Not released yet |
| Released | Improvement | Nerve block claims: expanded ultrasound guidance list, cleaner add-on modifiers, and matching diagnoses on the guidance line | No version | No ticket | |
| Released | Fix | A documented procedure is no longer withheld when the note does not name the performer | No version | No ticket |
Work that is planned, in progress, or merged and waiting for a production deploy. It is not released yet.
Work processed after carries this change.
Work processed after carries this change.
A nerve block line, and the ultrasound guidance line that goes with it, carries only the diagnoses documented for the block itself. That is normally the post-procedural pain code. It does not carry the patient's other conditions, because the reason for the block is the reason for the block, not every condition on the chart.
Claim cleaning runs after coding and can add a diagnosis to a line. When it adds one to a block line that the line is not allowed to carry, the autocoder removes it again. That part is not new.
What is new is that you can see it. Before this change the removal happened quietly, and the system also cleared the "added by claim cleaner" note for that code, so nothing on the claim showed that a diagnosis had come and gone. Now the claim carries an informational alert, "Diagnosis Added After Claim Cleaning Was Removed From a Block Line". The alert names the codes it removed, names the diagnoses the line kept, and identifies the line.
Nothing about which diagnoses get removed has changed.
Expect this alert to be rare. Claim cleaning no longer copies the main anesthesia line's diagnoses onto the other lines, so the situation this cleanup was built for does not arise any more. That is exactly why the alert is worth having: if a diagnosis does get added to a block line today, something unusual put it there, and you should look at it rather than have it disappear without a record.
Read the removed codes in the alert. Confirm that none of them is the correct indication for the block. In almost every case the removed code is a condition that belongs on the main anesthesia line instead.
If one of the removed codes IS the correct indication for the block, add it to the block line and tell your coding lead. The same code will be removed again on the next claim of that shape, so it is worth reporting rather than fixing one claim at a time.
The alert follows your existing block-line diagnosis setting. On the shipped default, a block line keeps only the G89 pain-family codes. A facility configured to keep the documented pain-location codes as well will see the alert less often. A facility that has turned the policy off entirely will never see it, because nothing is removed.
This release changes three things on anesthesia claims that include a peripheral nerve block. Our coding experts directed each change. No action is required on your side.
More blocks qualify for ultrasound guidance (76942). The autocoder now adds 76942 to the following block codes when the record documents ultrasound guidance and image storage: 64400, 64405, 64408, 64418, 64420, 64421, 64425, 64430, 64435, 64449, 64450, 64505, 64510, 64517, 64520, 64530, and 64999. New to the list are 64408 (vagus), 64421 (additional intercostal), 64430 (pudendal), 64435 (paracervical), 64505 (sphenopalatine), 64510 (stellate ganglion), 64517 (superior hypogastric), 64520 (lumbar or thoracic paravertebral sympathetic), and 64530 (celiac plexus). Code 64418 (suprascapular) stays on the list: an earlier version of this entry said it was removed, but our experts confirmed on 2026-08-15 that CPT does not bundle imaging into 64418, so 76942 stays billable with it when ultrasound and image storage are documented.
Add-on block lines no longer carry modifier 59 or the X modifiers. When a block is billed as a primary code plus an add-on code (for example, 64461 with 64462), the add-on line is already distinct by definition. The autocoder no longer places 59, XE, XS, XP, or XU on add-on lines. Primary lines are not affected.
The 76942 line now carries the same diagnoses as its nerve block. The ultrasound guidance line used to copy diagnoses from elsewhere on the claim. It now shows the diagnoses on the block line it supports, such as G89.18 (other acute postprocedural pain), and nothing else.
What to look out for: on claims with a suprascapular, pudendal, paracervical, stellate, celiac, hypogastric, or paravertebral sympathetic block, expect a 76942 line when ultrasound and image storage are documented. On claims with add-on block codes, expect the add-on line without 59 or an X modifier.
A missing provider name inside a procedure note no longer makes the procedure non billable. The autocoder was marking clearly documented procedures as non billable, with the reason "provider not documented", whenever the procedure section did not name the performer in line. That reason was never a valid rule. The autocoder resolves provider attribution later, so a missing name in one section is not a reason to withhold the code.
Flat fee procedures and neuraxial procedures are the ones you will notice. One case seen in production is a pre-operative combined spinal epidural catheter, code 62326. The procedure was documented, and the autocoder still marked it non billable. It bills now.
What to look out for: expect these procedures to appear as billable lines on notes where the performer is not named in the procedure section. Compare a few recent claims of this type against the record. When a procedure must not bill for a different reason, the autocoder still reports that reason.