2023 AMA MDM Guidelines

Finally, E/M Coding That Makes Sense.

CodeReflex uses AI to score your patient encounter across all three MDM domains and tells you exactly why you get that code — not just what it is.

Physician Built. AI Powered.

E/M coding was designed to be complicated.

The stakes are real — on both sides. CodeReflex gives you the logic, not just the label.

47 Pages of Billing Tables

The AMA MDM framework is 47 pages. You didn't go to med school to memorize billing tables — you went to take care of patients.

Under-coding Is Costly

Under-coding costs real revenue over time, and most physicians have no way to see it happening.

Over-coding Triggers Audits

Over-coding triggers audits and carries real legal and financial consequences. The stakes are serious on both sides of the line.

From encounter to code in seconds.

Three steps. Full transparency. Educational at every turn.

Describe Your Encounter

Type what you did, diagnosed, and decided — in plain language, the way you'd describe it to a colleague.

AI Scores Across MDM Domains

Problems, Data, and Risk — each scored individually per 2023 AMA guidelines. No guesswork. No shortcuts.

Get Your Code + Explanation

CPT level assigned with a full educational breakdown you can actually learn from — and use to code better next time.

Problems Data Risk CPT 99202–99215

Built for accuracy. Designed to educate.

Every feature serves one goal: helping you code accurately and understand the logic behind every decision.

2023 AMA MDM Framework

Built on the actual guidelines, not shortcuts. Every scoring decision maps to the published AMA criteria.

Diagnosis-Specific Intelligence

Curated overrides for diagnoses the AI commonly misclassifies — strep, croup, post-op infections, and more. Accuracy where it matters most.

Education First, Always

The explanation IS the product. Every analysis includes a full breakdown of why each domain was scored the way it was. You learn every time.

No PHI Retained

Encounters are processed transiently through the AI. Nothing is stored. Your patients' information never persists on our servers.

Reliable, transparent scoring

Built on Claude, with automatic retry if a request fails the first time. If the system's temporarily unavailable, you'll know immediately — no silent errors, no guessing.

I never had a way to be sure my MDM reasoning was right — just a gut feeling and a deadline. Now every code comes with the breakdown I was missing.

— Dr. Tricia Hilliard, Founder

Start free. Scale when you're ready.

5 free analyses per month, forever. No credit card required to start.

Free

$0 / month


  • 5 analyses per month
  • Full MDM domain scoring
  • Educational breakdown
  • No credit card needed
  • Forever free
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Pro Monthly

$39 / month


  • Unlimited analyses
  • Full MDM domain scoring
  • Educational breakdown
  • Diagnosis-specific overrides
  • Cancel anytime
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Practice

$149 / month  ·  $1,299 / year

3–10 physicians · Group access · Pilot-friendly

Contact for Access

Group practice pricing available. Contact us.

Common questions.

No. CodeReflex is a coding education and decision-support tool for physicians. It does not submit claims, integrate with billing systems, or touch payer workflows. It helps you understand the logic behind your code choices.

Never. Encounters are processed transiently through the AI models. No PHI is retained, stored, or logged on our servers. Your patients' information does not persist beyond the immediate analysis.

It complements your workflow. Think of CodeReflex as having a coding expert review your clinical logic in real time — explaining why your encounter reaches a particular complexity level. Coders and billers handle the downstream work; CodeReflex helps you document and code accurately upstream.

Office and outpatient E/M visits: CPT 99202–99215, scored using the 2023 AMA MDM framework across all three domains — Problems, Data, and Risk. New and established patient codes are both supported.

Yes. Individual physicians and group practices both use CodeReflex. Group access is available for practices looking to bring multiple physicians on. Reach out to discuss practice pricing.

Code accurately. Understand the logic.

5 free analyses per month. No account required for the demo. Not sure yet? See what you may be leaving on the table.

Physician Built. AI Powered.