What You'll Learn
- How to configure templates to automatically insert ICD-10 codes
- How to include CPT and HCC codes in your notes
- How to search for ICD-10 codes directly in the note editor
- Best practices for code placement within your template
Code Insertion Through Templates
DeepCura can automatically insert diagnostic and billing codes into your generated notes. This is controlled at the template level — you choose which sections include codes, and the AI populates them based on the transcript content.
Per-Section Code Instructions
When building or editing a template, each header section has a dropdown for formatting instructions. Three of these options are specifically for code insertion:
- Insert all possible ICD-10 Codes in this section — the AI identifies every diagnosable condition mentioned in the transcript and inserts the corresponding ICD-10 code alongside the diagnosis text
- Insert all possible CPT Codes in this section — the AI identifies procedures, evaluations, and services described in the transcript and inserts the matching CPT billing codes
- Insert all possible HCC Codes in this section — the AI identifies conditions relevant to Hierarchical Condition Category risk adjustment and inserts the appropriate HCC codes
The most common setup is to assign ICD-10 codes to the Assessment section and CPT codes to the Procedures or Plan section. However, you can assign code insertion to any section in your template.
How It Works in Practice
When the AI generates a note using a template with code instructions, it:
- Reads the full transcript
- Identifies clinical findings, diagnoses, and procedures
- Matches them against standard code databases
- Inserts the codes inline with the relevant text in the specified section
For example, if your Assessment section has “Insert all possible ICD-10 Codes,” a generated note might read:
“1. Type 2 diabetes mellitus without complications (E11.9)
2. Essential hypertension (I10)
3. Hyperlipidemia, unspecified (E78.5)”
Using Custom Instructions for Codes
For more control, choose Custom instruction for a section and write your own code-related directive. For example:
- “List each diagnosis with its ICD-10 code in parentheses, then the clinical rationale in one sentence.”
- “Create a billing summary table with columns: CPT Code, Description, Units, and Modifier.”
- “Include ICD-10 codes only for new diagnoses established in this encounter.”
ICD-10 Search in the Editor (Ctrl+F)
After the note is generated, you can manually add or verify codes using the ICD-10 Search tool. Press Ctrl+F in the note editor to open the search panel. Type a diagnosis or keyword (e.g., “diabetes” or “lumbar”) and browse matching ICD-10 codes. Click a code to insert it at your cursor position in the note.
This is useful for adding codes the AI might have missed, or when you want to be more specific (e.g., choosing E11.65 instead of the general E11.9).
Combining Code Types
You can use multiple code instructions across different sections of the same template. A common configuration:
- Assessment section — “Insert all possible ICD-10 Codes in this section”
- Plan section — Custom instruction: “Include CPT codes for each planned procedure or service”
- A dedicated “Billing Summary” section — Custom instruction: “Create a summary table with all ICD-10, CPT, and HCC codes identified in this encounter”
Important Notes
- AI-generated codes are suggestions based on the transcript content. Always verify codes against the clinical documentation and your clinical judgment before submitting for billing.
- The AI uses the most recent code database available at generation time. For rare or recently updated codes, use the ICD-10 Search tool for manual verification.
ICD-10 Code Finder (Quick Search Panel)
The ICD-10 Code Finder is available directly inside the note formatting pop-up. You can search by disease name or by the beginning of the ICD-10 code, then click to instantly add it to your Assessment list — without breaking your documentation flow.
Once you select a code, it is inserted directly into the Assessment section, keeping your note clean, accurate, and structured.
Template Instruction Examples
The simplest way to add codes is to include plain-language instructions in your template sections:
- "Add ICD-10 codes next to diagnosis."
- "Add billing CPT code section."
DeepCura's system detects relevant ICD-10 and CPT codes based on your conversation with the patient, reducing manual entry. Always verify codes to ensure accuracy before submitting for billing.
E&M Reasoning and CPT Audit Support
After your note is generated, DeepCura can justify the visit-level CPT code automatically using Medical Decision Making (MDM) analysis. Open any patient note and click the E&M Reasoning button in the toolbar to access this feature.
What Problem Does This Solve?
DeepCura already extracts your CPT code automatically. But during audits or peer reviews, you need to prove why that level was appropriate. E&M Reasoning bridges that gap by providing:
- Clear MDM justification based on the three pillars: problems addressed, data reviewed, and risk managed
- Verbatim quotes pulled directly from your transcript with timestamps
- Undercoding alerts when your documentation supports a higher level than initially coded
Verbatim Evidence
Every MDM decision is backed by direct quotes from your patient encounter. The system automatically identifies relevant statements and maps them to the appropriate MDM category.
Example: "Patient reports chest pain radiating to left arm" (02:34) → mapped to High Risk
No more manually hunting through transcripts to justify your coding decisions.
Undercoding Protection
Research shows that providers commonly undercode E&M visits, leaving revenue on the table. E&M Reasoning actively analyzes your documentation against 2025 AMA and CMS guidelines. When your note supports a higher visit level, you'll see:
- A clear alert highlighting the discrepancy
- Specific elements that qualify for the higher level
- The documentation needed to support the upgrade
Automated MDM Validation
The system applies the "two-out-of-three" MDM rule automatically. You'll see exactly which components (problems, data, risk) qualified at each level, with supporting evidence attached.
How to Use E&M Reasoning
- Step 1: Click the stethoscope icon in your DeepCura interface
- Step 2: Switch to the "E&M Reasoning" tab
- Step 3: Complete your patient encounter as usual — DeepCura does the rest
Within minutes, you'll see the recommended CPT code, complete MDM breakdown, supporting evidence, and any coding optimization suggestions.
Custom Code Integration
For additional coding systems — such as international codes or internal lab codes — you can create templates to automate your workflow. DeepCura supports custom code databases for practices with specialized billing requirements. Contact support if you have a large or proprietary code database to integrate.
Next Steps
Continue to Lesson 2.5 — Specialty Templates Reference