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Exact Dx synthetic data · demonstration
Extended criteria (experimental). This is the broader ten-condition engine, kept as a secondary area. It shows ICD-10-CM codes and illustrative grouping effects for CDI staff. The primary surface is Before you sign (kidney, measurement only). All extended pages.

Exact Dx: documentation worklist

Published clinical criteria, applied as versioned rules to 180 synthetic inpatient encounters. The tool looks both ways: it flags documentation that is less specific than the chart supports and documented diagnoses the criteria do not support. Rows are ranked by the absolute size of the change, so removing an unsupported code ranks the same as adding a supported one. Nothing changes in the record until a clinician answers a query.

206
Specificity gap

Chart supports a more specific diagnosis than documented.
93
Clinical validation gap

Documented diagnosis the criteria do not support.
57
Clinical judgement required

Borderline or contested: the rule declines to conclude.
Findings (51–93 of 93, highest priority first)
#Encounter · conditionKind DocumentedCriteria supportEffect (illustrative, FY2026) PriorityStatus
1 Gideon Coldridge · Heart failure
ENC-00100 · Pulmonology 		Clinical validation gap “acute on chronic systolic heart failure”
I50.23		 Chronic systolic (HFrEF) heart failure
I50.22 		MCC → CC
MS-DRG 190 → 191 (RW -0.2647)
54
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level MCC -> CC
Grouping change (illustrative)9.4illustrative relative-weight change -0.2647 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 7 days ago
Open
2 Kenji Lindqvist · Acute kidney injury
ENC-00082 · Hospital Medicine 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 194 → 195 (RW -0.1774)
51
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)6.3illustrative relative-weight change -0.1774 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 11 days ago
Open
3 Odette Brightwater · Sepsis
ENC-00127 · Hospital Medicine
Contested definitions (Sepsis-2 vs Sepsis-3)		 Clinical validation gap “sepsis”
A41.9		 criteria not met principal → removed
MS-DRG 871 → 194 (RW -1.1366)
50
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> removed
Grouping change (illustrative)25.0illustrative relative-weight change -1.1366 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
4 Pilar Lindqvist · Acute kidney injury
ENC-00073 · Hospital Medicine 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 194 → 194 (RW +0.0000)
49
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 1 day(s) ago
Open
5 Odette Elsworth · Acute kidney injury
ENC-00108 · Cardiology 		Clinical validation gap “acute kidney injury”
N17.9		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
49
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 3 day(s) ago
Open
6 Ximena Kestrel · Acute kidney injury
ENC-00152 · Cardiology 		Clinical validation gap “acute kidney injury”
N17.9		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
49
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 1 day(s) ago
Open
7 Ximena Kestrel · Hyponatraemia
ENC-00152 · Cardiology 		Clinical validation gap “hyponatremia”
E87.1		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
49
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 1 day(s) ago
Open
8 Lena Lindqvist · Acute blood loss anaemia
ENC-00174 · Hospital Medicine 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 377 → 377 (RW +0.0000)
49
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 3 day(s) ago
Open
9 Greta Nakashima · Sepsis
ENC-00028 · Hospital Medicine
Contested definitions (Sepsis-2 vs Sepsis-3)		 Clinical validation gap “sepsis”
A41.9		 criteria not met principal → removed
MS-DRG 871 → 193 (RW -0.6281)
47
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> removed
Grouping change (illustrative)22.4illustrative relative-weight change -0.6281 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
10 Amara Whitlock · Acute kidney injury
ENC-00002 · Cardiology 		Clinical validation gap “acute kidney injury”
N17.9		 criteria not met CC → removed
MS-DRG 292 → 292 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
11 Pilar Ravensworth · Hyponatraemia
ENC-00022 · Hospital Medicine 		Clinical validation gap “hyponatremia”
E87.1		 criteria not met CC → removed
MS-DRG 872 → 872 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 7 days ago
Open
12 Greta Nakashima · Acute kidney injury
ENC-00028 · Hospital Medicine 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 871 → 871 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
13 Greta Nakashima · Malnutrition
ENC-00028 · Hospital Medicine 		Clinical validation gap “severe protein-calorie malnutrition”
E43		 Moderate (non-severe) protein-calorie malnutrition (acute illness context)
E44.0 		MCC → CC
MS-DRG 871 → 871 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level MCC -> CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
14 Nico Hartwell · Acute kidney injury
ENC-00032 · Hospital Medicine 		Clinical validation gap “acute kidney injury”
N17.9		 criteria not met CC → removed
MS-DRG 194 → 194 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 7 days ago
Open
15 Nico Ravensworth · Hyponatraemia
ENC-00043 · Cardiology 		Clinical validation gap “hyponatremia”
E87.1		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
16 Nico Ravensworth · Malnutrition
ENC-00043 · Cardiology 		Clinical validation gap “malnourished”
E46		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
17 Kenji Galloway · Acute blood loss anaemia
ENC-00046 · Hospital Medicine 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 689 → 689 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
18 Ximena Vance · Acute kidney injury
ENC-00049 · Hospital Medicine 		Clinical validation gap “acute kidney injury”
N17.9		 criteria not met CC → removed
MS-DRG 193 → 193 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 5 days ago
Open
19 Ximena Vance · Acute blood loss anaemia
ENC-00049 · Hospital Medicine 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 193 → 193 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 5 days ago
Open
20 Hana Abernath · Malnutrition
ENC-00062 · Hospital Medicine 		Clinical validation gap “malnourished”
E46		 criteria not met CC → removed
MS-DRG 872 → 872 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 10 days ago
Open
21 Farah Nakashima · Malnutrition
ENC-00090 · Cardiology 		Clinical validation gap “malnourished”
E46		 criteria not met CC → removed
MS-DRG 291 → 291 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
22 Gideon Coldridge · Chronic kidney disease
ENC-00100 · Pulmonology 		Clinical validation gap “CKD stage 4”
N18.4		 Chronic kidney disease stage 3b
N18.32 		CC → non-CC
MS-DRG 190 → 190 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 7 days ago
Open
23 Tobias Fairbanks · Chronic kidney disease
ENC-00102 · Hospital Medicine 		Clinical validation gap “CKD stage 4”
N18.4		 Chronic kidney disease stage 3b
N18.32 		CC → non-CC
MS-DRG 689 → 689 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
24 Sana Thorne · Acute kidney injury
ENC-00107 · Cardiology 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 292 → 292 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 10 days ago
Open
25 Sana Thorne · Chronic kidney disease
ENC-00107 · Cardiology 		Clinical validation gap “CKD stage 4”
N18.4		 Chronic kidney disease stage 3b
N18.32 		CC → non-CC
MS-DRG 292 → 292 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 10 days ago
Open
26 Yusuf Whitlock · Acute kidney injury
ENC-00114 · Hospital Medicine 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 194 → 194 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
27 Yusuf Whitlock · Acute blood loss anaemia
ENC-00114 · Hospital Medicine 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 194 → 194 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
28 Bodhi Foxhall · Acute kidney injury
ENC-00122 · Hospital Medicine 		Clinical validation gap “AKI”
N17.9		 criteria not met CC → removed
MS-DRG 689 → 689 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> removed
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
29 Bodhi Foxhall · Malnutrition
ENC-00122 · Hospital Medicine 		Clinical validation gap “severe malnutrition”
E43		 Moderate (non-severe) protein-calorie malnutrition (acute illness context)
E44.0 		MCC → CC
MS-DRG 689 → 689 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level MCC -> CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
30 Dmitri Jessup · Acute blood loss anaemia
ENC-00125 · Cardiology 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 292 → 292 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
31 Dmitri Galloway · Acute blood loss anaemia
ENC-00151 · General Surgery 		Clinical validation gap “acute blood loss anemia”
D62		 Anemia (acute blood-loss criteria not met)
D64.9 		CC → non-CC
MS-DRG 378 → 378 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 9 days ago
Open
32 Nadia Greaves · Chronic kidney disease
ENC-00162 · Hospital Medicine 		Clinical validation gap “CKD stage 4”
N18.4		 Chronic kidney disease stage 3b
N18.32 		CC → non-CC
MS-DRG 690 → 690 (RW +0.0000)
44
Priority score components
ComponentPointsWhy
Diagnosis-level change20.0secondary-diagnosis level CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 10 days ago
Open
33 Gideon Merriweather · Obesity
ENC-00005 · Hospital Medicine
In hospital: concurrent review
Resident note awaiting attending cosign		 Clinical validation gap “class 3 obesity”
E66.813		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 193 → 193 (RW +0.0000)
35
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing15.0patient still in hospital (concurrent review)
Open
34 Priya Nakashima · Obesity
ENC-00080 · Cardiology
In hospital: concurrent review
Resident note awaiting attending cosign		 Clinical validation gap “morbid obesity”
E66.01		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 291 → 291 (RW +0.0000)
35
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing15.0patient still in hospital (concurrent review)
Open
35 Luca Abernath · Sepsis
ENC-00004 · Hospital Medicine
Contested definitions (Sepsis-2 vs Sepsis-3)		 Clinical validation gap “sepsis”
A41.9		 criteria not met principal → removed
MS-DRG 872 → 690 (RW -0.2138)
32
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> removed
Grouping change (illustrative)7.6illustrative relative-weight change -0.2138 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
36 Orrin Foxhall · Sepsis
ENC-00063 · Hospital Medicine
Contested definitions (Sepsis-2 vs Sepsis-3)		 Clinical validation gap “sepsis”
A41.9		 criteria not met principal → removed
MS-DRG 872 → 690 (RW -0.2138)
32
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> removed
Grouping change (illustrative)7.6illustrative relative-weight change -0.2138 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 8 days ago
Open
37 Dario Ingram · Obesity
ENC-00019 · Hospital Medicine 		Clinical validation gap “morbid obesity”
E66.01		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 377 → 377 (RW +0.0000)
29
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 3 day(s) ago
Open
38 Ines Ivers · Obesity
ENC-00158 · Cardiology 		Clinical validation gap “morbid obesity”
E66.01		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 292 → 292 (RW +0.0000)
29
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing9.0discharged 3 day(s) ago
Open
39 Nadia Foxhall · Heart failure
ENC-00059 · Cardiology 		Clinical validation gap “acute on chronic diastolic heart failure”
I50.33		 Chronic diastolic (HFpEF) heart failure
I50.32 		principal → principal
MS-DRG 293 → 293 (RW +0.0000)
24
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> principal
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 4 days ago
Open
40 Gideon Coldridge · Obesity
ENC-00100 · Pulmonology 		Clinical validation gap “class 3 obesity”
E66.813		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 190 → 190 (RW +0.0000)
24
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 7 days ago
Open
41 Tobias Ivers · Heart failure
ENC-00129 · Cardiology 		Clinical validation gap “acute on chronic systolic heart failure”
I50.23		 Chronic systolic (HFrEF) heart failure
I50.22 		principal → principal
MS-DRG 292 → 292 (RW +0.0000)
24
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level principal -> principal
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 12 days ago
Open
42 Amara Holloway · Obesity
ENC-00136 · Hospital Medicine 		Clinical validation gap “class 3 obesity”
E66.813		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 194 → 194 (RW +0.0000)
24
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 5 days ago
Open
43 Blake Coldridge · Obesity
ENC-00175 · Cardiology 		Clinical validation gap “class 3 obesity”
E66.813		 Obesity, class 1
E66.811 		non-CC → non-CC
MS-DRG 293 → 293 (RW +0.0000)
24
Priority score components
ComponentPointsWhy
Diagnosis-level change0.0secondary-diagnosis level non-CC -> non-CC
Grouping change (illustrative)0.0illustrative relative-weight change +0.0000 (absolute value ranks)
Evidence completeness20.0criteria fully applied
Timing4.5discharged 10 days ago
Open

"Approved" in the status column means the query was sent; "Rejected" means a CDI specialist dismissed the finding with a reason. Grouping effects use a small embedded subset of public CMS FY2026 tables and are illustrative, never a payment estimate.