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PRSM

medcode_check_code

Active

Tool of io.github.cyanheads/medical-codes-mcp-server

declared in 0.2.0

Validate whether a US medical code exists, is current, and is billable in the active bundled release. Returns a discriminated status — valid_billable, valid_not_billable, valid_header, or terminated — with a `whyNot` explaining non-billable and terminated cases (e.g. "valid ICD-10-CM category but not billable — submit a more specific child code"). This is the detail a coder needs before submitting a claim. Auto-detects the system from the code's shape; pass an explicit `system` to disambiguate. A non-billable or terminated code is a successful result with a whyNot, not an error — only a code that exists in no bundled system raises unknown_code.

Parameters schema

{
  "type": "object",
  "$schema": "http://json-schema.org/draft-07/schema#",
  "required": [
    "code"
  ],
  "properties": {
    "code": {
      "type": "string",
      "minLength": 1,
      "description": "The code to validate, with or without dots."
    },
    "system": {
      "enum": [
        "ICD10CM",
        "ICD10PCS",
        "HCPCS",
        "RXNORM"
      ],
      "type": "string",
      "description": "Force the lookup into this system. Omit to auto-detect from the code's shape."
    }
  }
}

What this tool wraps· 0 endpoints

min confidence0.700.50

No endpoints wrapped at confidence ≥ 0.70.

Parent server

io.github.cyanheads/medical-codes-mcp-server

https://github.com/cyanheads/medical-codes-mcp-server

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medcode_check_code — io.github.cyanheads/medical-codes-mcp-server — PRSM MCP