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What is CodeNav?
CodeNav is an AI-powered medical coding assistance platform built for certified coders, physicians, billing managers, and healthcare organizations. It combines the full CPT code database with AMA 2025 guidelines, HCC capture tools, OIG compliance alerts, and real-time modifier checking, all in one platform.
Whether you're coding a complex office visit, capturing HCCs for Medicare Advantage, or defending against an OIG audit, CodeNav gives you the tools to code accurately and compliantly.
What's Inside CodeNav
AI Code Extraction
Paste any clinical note, operative report, or discharge summary and CodeNav extracts the correct CPT I/II/III, ICD-10-CM, and HCPCS codes instantly with confidence scores, modifier flags, and OIG compliance alerts.
E/M Optimizer
Compare MDM vs time-based billing for every E/M visit type. CodeNav automatically identifies the more advantageous billing method per AMA 2025 guidelines and shows you the RVU difference.
HCC Capture
Never miss a Hierarchical Condition Category again. CodeNav surfaces HCC capture opportunities with RAF scores, commonly missed flags, and capture tips critical for Medicare Advantage risk adjustment.
OIG Audit Targets
Know which codes are currently under federal scrutiny. CodeNav flags active OIG Work Plan targets with risk levels and mitigation strategies so you can document defensively.
Modifier Checker
Enter any combination of codes and CodeNav instantly flags required and recommended modifiers, CCI bundling conflicts, and compliance risks.
Denial Code Lookup
Search CARC and RARC denial codes with common causes, appeal guidance, and step-by-step resolution right when you need it.
Pricing
Solo — $99/month — 1 user
Small Practice — $249/month — Up to 5 users
Large Practice — $399/month — Up to 10 users
Enterprise — $699/month — Unlimited users
All plans include a 3-use free demo — no credit card required.
AAPC and AHIMA members save 15% — verify your membership at checkout.
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