Autoicd

Give AI assistants the power of medical coding - ICD-10-CM, ICD-11, ICF, and LOINC diagnosis and functioning coding, chart audit (HCC gap capture, RADV, specificity, denial risk), cross-standard translate, unified reference lookup across ICD-10, ICD-11, ICF, LOINC, SNOMED CT, UMLS, and RxNorm, plus PHI de-identification via the AutoICD API.

An MCP (Model Context Protocol) server that connects AI assistants like Claude Desktop, Cursor, VS Code, and Windsurf to the AutoICD API for AI-powered medical coding, audit, and terminology lookup.

What's new - 2026-05-05

• reference_lookup now covers SNOMED CT, UMLS, and RxNorm in addition to ICD-10-CM, ICD-11, ICF, and LOINC.
• reference_search - new tool for free-text search of SNOMED CT, UMLS, and RxNorm.
• The unified reference resource gives every record cross_references keyed by target system, so AI agents can pivot across vocabularies without extra calls.

Why AutoICD API?

Feature	Details
AI-Powered Coding	Clinical text → ICD-10-CM, ICD-11, or ICF codes with NLP entity extraction
74,000+ ICD-10 Codes	Full ICD-10-CM 2025 code set with descriptions and hierarchy
ICD-11 Support	Search and look up ICD-11 codes with full ICD-10 ↔ ICD-11 crosswalk
ICF Functioning Codes	Code clinical text to WHO ICF categories, search 1,400+ codes, and access Core Sets for 12+ conditions
Negation Detection	Identifies negated, historical, uncertain, and family history mentions
Confidence Scoring	High/moderate confidence labels with cosine similarity scores
Spell Correction	Handles misspelled medical terms automatically
PHI De-identification	HIPAA-compliant removal of names, dates, SSNs, and more
Code Search	Full-text search across all ICD-10-CM codes and descriptions
SNOMED CT & UMLS	Cross-references and synonyms from standard medical terminologies

Get your API key at autoicdapi.com.

Setup

Claude Desktop

Add to your claude_desktop_config.json:

{
  "mcpServers": {
    "autoicd": {
      "command": "npx",
      "args": ["-y", "autoicd-mcp"],
      "env": {
        "AUTOICD_API_KEY": "sk_your_api_key"
      }
    }
  }
}

Cursor

Add to .cursor/mcp.json in your project:

{
  "mcpServers": {
    "autoicd": {
      "command": "npx",
      "args": ["-y", "autoicd-mcp"],
      "env": {
        "AUTOICD_API_KEY": "sk_your_api_key"
      }
    }
  }
}

VS Code

Add to .vscode/mcp.json in your project:

{
  "servers": {
    "autoicd": {
      "command": "npx",
      "args": ["-y", "autoicd-mcp"],
      "env": {
        "AUTOICD_API_KEY": "sk_your_api_key"
      }
    }
  }
}

Windsurf

Add to your Windsurf MCP configuration:

{
  "mcpServers": {
    "autoicd": {
      "command": "npx",
      "args": ["-y", "autoicd-mcp"],
      "env": {
        "AUTOICD_API_KEY": "sk_your_api_key"
      }
    }
  }
}

Available Tools

code_diagnosis

Extract medical diagnoses from clinical text and map them to ICD-10-CM codes.

Parameters:

• text (required) - Clinical text to process (progress notes, discharge summaries, etc.)
• top_k (optional, 1-25, default: 5) - Number of top ICD-10 candidates per entity
• include_negated (optional, default: true) - Include negated entities in results

Example prompts:

• "Code this note: Patient presents with acute lower back pain radiating to the left leg. Denies any numbness or tingling."
• "What ICD-10 codes apply to: 65-year-old male with type 2 diabetes, hypertension, and chronic kidney disease stage 3"
• "Code the following discharge summary: Patient admitted for COPD exacerbation with acute respiratory failure. History of CHF and atrial fibrillation."

The tool will extract medical entities, detect negations ("denies numbness"), and return ranked ICD-10 code candidates with confidence scores.

search_codes

Search the ICD-10-CM 2025 code set by description.

Parameters:

• query (required) - Search text to match against code descriptions
• limit (optional, 1-100, default: 20) - Maximum results
• offset (optional, default: 0) - Pagination offset

Example prompts:

• "Search for ICD-10 codes related to congestive heart failure"
• "Find all ICD-10 codes for diabetes"
• "What ICD-10 codes are there for anxiety disorders?"
• "Look up hypertension ICD-10 codes"

get_code

Get comprehensive details for a specific ICD-10-CM code.

Parameters:

• code (required) - ICD-10-CM code (e.g., "E11.9", "I10", "J44.1")

Example prompts:

• "Look up the details for ICD-10 code M54.5"
• "What does ICD-10 code I10 mean?"
• "Is E11.9 a billable code? What are its synonyms?"
• "Show me the SNOMED CT mappings for code J44.1"

Returns descriptions, billable status, SNOMED CT and UMLS synonyms, parent/child hierarchy, chapter classification, and ICD-11 crosswalk mappings.

search_icd11_codes

Search the ICD-11 code set by description.

Parameters:

• query (required) - Search text to match against ICD-11 code descriptions
• limit (optional, 1-100, default: 10) - Maximum results

Example prompts:

• "Search for ICD-11 codes related to diabetes"
• "Find ICD-11 codes for respiratory infections"
• "What are the ICD-11 codes for anxiety disorders?"

get_icd11_code

Get comprehensive details for a specific ICD-11 code, including ICD-10 crosswalk mappings.

Parameters:

• code (required) - ICD-11 code (e.g., "5A11", "BA00", "CA40.0")

Example prompts:

• "Look up ICD-11 code 5A11"
• "What is the ICD-10 equivalent of ICD-11 code BA00?"
• "Show me the details and crosswalk for ICD-11 code CA40.0"

Returns descriptions, Foundation URI, synonyms, parent/child hierarchy, chapter classification, and ICD-10 crosswalk mappings.

anonymize

De-identify Protected Health Information (PHI) in clinical text.

Parameters:

• text (required) - Clinical text containing PHI

Example prompts:

• "Remove all patient identifiers from this note: John Smith (DOB 03/15/1980) was seen at 123 Main St..."
• "De-identify this clinical text before I share it: Maria Garcia, MRN 789012, SSN 123-45-6789, diagnosed with pneumonia"

Detects and replaces names, dates, SSNs, phone numbers, emails, addresses, MRNs, and ages with type labels like [NAME], [DATE], [SSN].

icf_lookup

Look up details for a specific ICF code.

Parameters:

• code (required) - ICF code (e.g., "b730", "d450", "s110")

Example prompts:

• "Look up ICF code b730"
• "What does ICF code d450 mean?"
• "Show me the definition of ICF code s110"

Returns title, definition, component, chapter, parent/child hierarchy, inclusions, exclusions, and index terms.

icf_search

Search ICF codes by keyword.

Parameters:

• query (required) - Search text to match against ICF code descriptions
• limit (optional, 1-100, default: 20) - Maximum results

Example prompts:

• "Search for ICF codes related to mobility"
• "Find ICF codes for cognitive functions"
• "What ICF codes are there for self-care activities?"

icf_core_set

Get the ICF Core Set for an ICD-10 diagnosis - a curated list of ICF categories relevant to a specific condition.

Parameters:

• icd10_code (required) - ICD-10-CM code (e.g., "E11.9", "I63.9", "G35")

Example prompts:

• "What ICF Core Set applies to diabetes (E11.9)?"
• "Show me the ICF Core Set for stroke (I63.9)"
• "Get the brief and comprehensive ICF Core Sets for multiple sclerosis (G35)"

Returns condition name, brief Core Set (key categories), and comprehensive Core Set (full assessment categories).

translate_code

Translate a code between healthcare coding systems. Forward from ICD-10 to ICD-11, SNOMED CT, UMLS, and ICF, plus reverse ICD-11 → ICD-10 and ICF → ICD-10. Built on CMS-published crosswalks, code-level SNOMED / UMLS concept IDs, and WHO ICF Core Sets.

Parameters:

• code (required) - The source code (e.g., "E11.9" for ICD-10, "5A11" for ICD-11).
• system (required) - "icd10", "icd11", "snomed", "umls", or "icf".
• to (optional) - Array of target systems. Omit for every system reachable from the source.

Example prompts:

• "Translate ICD-10 E11.9 to ICD-11 and SNOMED."
• "What's the SNOMED CT and ICD-11 equivalent of diabetes code E11.9?"
• "Reverse-translate ICD-11 5A11 back to ICD-10."
• "Show me the ICF categories that map to ICD-10 I63.9."

Targets not reachable from the source are returned in unsupported_targets rather than as errors, so a broad target list is safe.

reference_lookup

Look up canonical reference data for a code in any supported coding system through a single tool. Returns the same detail payload as the per-system tools (get_code, get_icd11_code, icf_lookup, loinc_lookup), which remain available but are now deprecated.

Parameters:

• system (required) - One of "icd-10-cm", "icd-11", "icf", "loinc", "snomed-ct", "umls", "rxnorm".
• code (required) - Code in the chosen system.

Example prompts:

• "Look up SNOMED CT concept 44054006."
• "What is UMLS CUI C0011860?"
• "Show me the RxNorm record for 860975 (metformin)."
• "Use reference_lookup to get the canonical record for ICD-11 5A11."

SNOMED, UMLS, and RxNorm records carry cross_references to ICD-10, ICD-11, LOINC, and each other so agents can pivot across vocabularies without extra calls.

reference_search

Free-text search the Neon-backed reference vocabularies (SNOMED CT, UMLS, RxNorm). Returns matching codes with display labels and a system-specific meta field (semantic tag for SNOMED, term type for RxNorm). JSON-backed systems (ICD-10-CM, ICD-11, ICF, LOINC) keep their per-system search tools.

Parameters:

• system (required) - One of "snomed-ct", "umls", "rxnorm".
• query (required) - Free-text search query.
• limit (optional, 1-100, default: 20) - Maximum results.

Example prompts:

• "Search SNOMED CT for 'chronic systolic heart failure'."
• "Find UMLS concepts related to metformin."
• "Look up RxNorm codes for 'lisinopril 10 mg tablet'."

audit_clinical_text

Audit a chart against submitted codes. Surfaces missed HCCs with RAF-weighted revenue estimates, unsupported codes (RADV exposure), specificity upgrades, denial risk flags, and a reconciled problem list. Every finding carries extractive evidence spans.

Parameters:

• text (required) - Clinical text (progress note, discharge summary, H&P).
• codes (required) - Array of { code, kind } the clinician submitted (e.g., [{ "code": "E11.9", "kind": "icd10" }]).
• capabilities (optional) - Subset of ["hcc", "radv", "specificity", "denial", "problem_list"]. Defaults to all five.
• patient_age, patient_sex, coverage (optional) - Enrich denial and HCC reasoning.
• hcc_model (optional) - "v22", "v28", or "both" (default). Note: V24 is the ESRD-specific model and is not accepted here.

Example prompts:

• "Audit this progress note. Codes submitted: E11.9, I50.9. Text: 68yo M, type 2 diabetes, chronic systolic CHF on furosemide, stage 3 CKD, proliferative diabetic retinopathy."
• "Run an HCC-only gap analysis on this discharge summary. Submitted codes: [...]."
• "Check this encounter for unsupported codes and denial risk. Patient is male, age 45."

Uses the CMS PY2026 V22 and V28 community models for HCC gap capture.

Common ICD-10 Codes

Here are some of the most commonly coded conditions you can look up with this MCP server:

Condition	Code	Description
Hypertension	I10	Essential (primary) hypertension
Type 2 Diabetes	E11.9	Type 2 diabetes mellitus without complications
Anxiety	F41.1	Generalized anxiety disorder
Depression	F32.9	Major depressive disorder, single episode
Low Back Pain	M54.5	Low back pain
COPD	J44.9	Chronic obstructive pulmonary disease
Heart Failure	I50.9	Heart failure, unspecified
UTI	N39.0	Urinary tract infection
Pneumonia	J18.9	Pneumonia, unspecified organism
Atrial Fibrillation	I48.91	Unspecified atrial fibrillation

Browse the full ICD-10-CM Code Directory or find codes by condition.

Configuration

Environment Variable	Required	Description
AUTOICD_API_KEY	Yes	Your AutoICD API key (starts with sk_)
AUTOICD_BASE_URL	No	Custom API base URL (default: https://autoicdapi.com)

Use Cases

• EHR/EMR Integration - Automate diagnosis coding in electronic health record workflows
• Medical Billing - Accelerate revenue cycle management with AI-assisted code assignment
• Clinical Decision Support - Look up ICD-10 codes and hierarchies during clinical documentation
• Health-Tech Development - Build and test medical coding features with live API access in your IDE
• Research & Analytics - Search and explore the ICD-10-CM code set for epidemiological analysis
• Compliance - De-identify clinical text before processing or sharing

Requirements

• Node.js 18+
• An AutoICD API key - Get one free at autoicdapi.com

Links

• AutoICD API - autoicdapi.com
• API Documentation - autoicdapi.com/docs
• ICD-10-CM Code Directory - autoicdapi.com/reference/icd-10 - Browse all 74,000+ codes
• ICD-11 Code Directory - autoicdapi.com/reference/icd-11 - Browse the WHO ICD-11 MMS hierarchy
• ICD-10 ↔ ICD-11 Crosswalk - autoicdapi.com/icd10-to-icd11 - Map codes between revisions
• ICD-10 Codes by Condition - autoicdapi.com/reference/icd-10/condition - Find codes for common conditions
• TypeScript SDK - npmjs.com/package/autoicd
• Python SDK - pypi.org/project/autoicd
• SNOMED CT & UMLS Cross-References - autoicdapi.com/snomed-ct-umls
• ICD-10-CM Reference - CMS.gov

License

MIT