‍Expert Overview

The CCAM (Classification Commune des Actes Médicaux) Coding Expert enables AI agents to analyze clinical documentation and assign standardized procedure codes implemented across French health systems. It identifies codeable medical acts and procedures even when operative or clinical notes are incomplete or ambiguous, using structured analysis aligned with coding standards maintained by the Agence Technique de l'Information sur l'Hospitalisation (ATIH) and applied within French public and private health establishments.

This expert supports procedure coding workflows by generating initial CCAM code suggestions, validating existing procedure codes, and identifying gaps in operative and clinical documentation. It reduces manual effort while improving consistency and accuracy across episodes of care. Accurate procedure coding is essential for T2A reimbursement, GHM grouping, PMSI reporting, and regulatory compliance across French health establishments.

By embedding the CCAM Coding Expert into agent workflows, French hospitals and healthcare teams can accelerate procedure coding processes, reduce administrative burden, and improve the quality of structured data used across downstream systems.

Capabilities

• Analyze operative notes and clinical documentation for codeable medical acts under French CCAM coding standards
• Assign CCAM codes in line with ATIH guidelines including principal acts, associated acts, and activity modifiers
• Validate and suggest procedure codes with CCAM-specific considerations including charge codes and extension modifiers
• Support T2A reimbursement and GHM grouping workflows for procedural episodes
• Enable PMSI reporting and regulatory compliance across MCO, SSR, and HAD care settings

Example Use Cases

• Automated procedure coding for T2A reimbursement: Generate structured CCAM codes from operative and procedural documentation to support GHM grouping and payment under the Tarification à l'Activité system.
• Operative note coding assistance: Suggest principal and associated act codes from unstructured surgical and clinical notes for clinical coder review in line with ATIH and PMSI standards.
• Code validation and verification: Check assigned CCAM codes for completeness, modifier accuracy, and consistency with current ATIH coding guidelines.
• PMSI reporting and regulatory support: Provide coded outputs that feed into PMSI submissions across MCO, SSR, and HAD settings and satisfy reporting requirements to the ARS and HAS.
• Clinical Documentation Improvement: Identify missing or ambiguous procedural documentation and suggest appropriate CCAM codes to improve coding accuracy, GHM capture, and compliance with French standards.