Encounter Billing and Codes Selection

Billing-code selection in WoundScribe solves three problems at once: compliance through linked diagnoses, revenue through complete coding, and audit-readiness through a documented superbill. This walkthrough shows how the AI wound coding handoff turns a finished encounter into a clean, defensible claim. 1. Review AI suggestions. Open the Billing handoff and check the amber suggestion bar. WoundScribe reads the encounter and proposes the E/M level (for example, 99213) alongside procedure CPTs such as 97597 and 97606. Click any pill to add it — nothing is committed until you confirm. 2. Accept the E/M. Accepting 99213 drops it into place, auto-applies modifier 25 for the separately identifiable problem, and links the diabetic foot ulcer diagnoses that justify the level. The linked-diagnoses bar enforces that every code carries the ICD-10 codes it has to support. 3. Code the procedures. Whether you accept a suggestion or add one manually, the same dialog opens. Click Add CPT manually, type a few digits, and WoundScribe surfaces matching wound-care codes with their official descriptions from an admin-maintained, payer-current library. 4. Confirm the procedure details. Choose 97606 for negative-pressure therapy and the dialog prefills the indication, anesthesia note, and required-field chips, then auto-applies the RT modifier for the right heel. The procedure floats below the E/M as its own card, each tied to the diagnoses that support it. 5. Print the superbill. Click Print or Save PDF and WoundScribe assembles the superbill — demographics, diagnoses, charges with modifiers, and the signed provider attestation. The result is coding that defends itself on every visit. For the upstream flow, see running an encounter, and for documentation leaders, review the Medicare audit compliance FAQ.