ICD-10 Coding for Indian Private Hospitals
Turn messy bedside charts and operative reports into verified ICD-10 diagnosis and procedure codes. Attending physicians review and sign. Insurance desks get claim-ready packs.
Why do ICD coding gaps stall hospital discharge and TPA claims?
In Indian private hospitals, coding is rarely performed by certified medical coders on the ward floor. Junior residents or transcriptionists often pick vague primary codes, or omit critical secondary diagnoses, comorbidity manifestations, and procedure specifics. When the cashless TPA desk submits the pre-authorisation or final claim, third-party administrators raise queries, demanding additional justification and delaying claim clearance by hours or days.
How does Patient Lens AI extract and validate ICD-10 codes?
Full Chart Synthesis
Patient Lens extracts clinical signals from admission notes, OT surgery sheets, daily progress notes, and pathology reports to identify accurate primary and secondary ICD-10-CM codes.
Doctor-in-the-Loop Verification
Suggested codes appear with direct clinical context. The attending physician verifies the diagnostic accuracy before affixing their digital signature.
Supported Code Sets: ICD-10-CM, ICD-10-PCS, and Indian insurance billing standard lists. {{TODO_OWNER: verify supported coding standard versions and local guidelines}}
What does the billing and TPA desk receive?
Instead of unstructured prose that triggers insurer re-queries, the billing desk receives a clean one-page summary where diagnosis and intervention sections map directly to insurer requirements.
- Primary diagnosis with explicit etiology and specificity
- Secondary comorbidities affecting inpatient length of stay
- Surgical procedure codes mapped from OT operating records