ICD-10 Codes Connector

ICD-10 Codes Connector#

The ICD-10 Codes Connector gives Claude access to the complete ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) code sets for medical classification and billing.

What You Can Do#

With this connector, Claude can help you:

  • Look up specific ICD-10 diagnosis or procedure codes

  • Search for codes by clinical description or keyword

  • Validate codes for HIPAA billing compliance

  • Navigate code hierarchies and find related codes

  • Understand code structure and specificity requirements

  • Check if codes are billable vs. non-billable

Data Source: CMS ICD-10 Codes - 2026 code set (local database)

MCP Endpoint: https://mcp.deepsense.ai/icd10_codes/mcp

Getting Started#

Adding the Connector to Claude#

  1. Open Claude’s Connector Settings

    • In Claude Desktop, select your profile icon in the bottom left

    • Navigate to Settings → Connectors

  2. Find the ICD-10 Codes Connector

    • Browse the available connectors catalogue

    • Search for “ICD-10” or find it under Healthcare connectors

  3. Enable the Connector

    • Click on the ICD-10 Codes Connector

    • Click “Enable” or “Add Connector”

    • The connector will be activated immediately

    • No authentication required - the connector works immediately after enabling

  4. Verify the Connection

    • Ask Claude: “What is the ICD-10 code for type 2 diabetes?”

    • Claude should use the ICD-10 connector to find the code

Available Tools#

1. Look Up Code#

What it does: Retrieves detailed information for a specific ICD-10 code.

Use it for:

  • Verifying code descriptions

  • Checking if a code is billable

  • Understanding code meaning

  • Confirming code status (active/inactive)

Example queries:

  • “What is ICD-10 code E11.65?”

  • “Look up diagnosis code C50.911”

  • “Tell me about procedure code 0DTJ4ZZ”

  • “Is code E11.9 valid for billing?”

What Claude will do:

  1. Query the ICD-10 database for the exact code

  2. Return the full code description

  3. Indicate if it’s a diagnosis or procedure code

  4. Show whether the code is billable (valid for HIPAA transactions)

  5. Provide chapter and category information

2. Search Diagnosis by Code#

What it does: Finds diagnosis codes by code number prefix.

Use it for:

  • Exploring code families

  • Finding all codes in a category

  • Navigating from general to specific codes

  • Discovering related diagnosis codes

Example queries:

  • “Show me all E11 diabetes codes”

  • “Find diagnosis codes starting with C50”

  • “List codes in the E10 category”

  • “What codes are under J44?”

What Claude will do:

  1. Search for all codes matching the prefix

  2. Return codes in hierarchical order

  3. Show both billable and non-billable codes

  4. Provide full descriptions for each code

3. Search Diagnosis by Description#

What it does: Searches diagnosis codes by clinical description or keywords.

Use it for:

  • Finding codes when you know the disease name

  • Searching by symptoms or conditions

  • Discovering codes for clinical documentation

  • Medical coding education

Example queries:

  • “Find ICD-10 codes for pneumonia”

  • “What’s the code for chest pain?”

  • “Search for diabetes with complications”

  • “Show me codes for breast cancer”

  • “Find depression diagnosis codes”

What Claude will do:

  1. Search across all code descriptions

  2. Match your keywords to relevant codes

  3. Return results ranked by relevance

  4. Include both specific and general codes

4. Search Procedure by Code#

What it does: Finds procedure codes by code number prefix.

Use it for:

  • Exploring inpatient procedure codes

  • Finding related procedures

  • Navigating procedure families

  • Verifying procedure code structure

Example queries:

  • “Show me procedure codes starting with 0DH”

  • “Find all codes in the 02H category”

  • “List procedures beginning with 0BH”

What Claude will do:

  1. Search ICD-10-PCS codes by prefix

  2. Return matching procedure codes

  3. Provide full procedure descriptions

  4. Show classification information

5. Search Procedure by Description#

What it does: Searches procedure codes by procedure name or keywords.

Use it for:

  • Finding inpatient procedure codes

  • Coding operative reports

  • Hospital billing

  • Understanding procedure classifications

Example queries:

  • “Find procedure code for coronary bypass”

  • “What’s the code for hip replacement?”

  • “Search for appendectomy codes”

  • “Show me cardiac catheterization codes”

What Claude will do:

  1. Search procedure descriptions

  2. Match keywords to relevant codes

  3. Return results ranked by relevance

  4. Provide complete procedure descriptions

6. Validate Code#

What it does: Verifies if an ICD-10 code is valid and billable for HIPAA transactions.

Use it for:

  • Pre-submission claims validation

  • Checking code specificity

  • Avoiding claim rejections

  • Training and education

Example queries:

  • “Is E11 a valid billable code?”

  • “Validate ICD-10 code E11.65”

  • “Can I use code C50 for billing?”

  • “Check if J44.0 is billable”

What Claude will do:

  1. Check if the code exists in the database

  2. Verify the code format is correct

  3. Determine if the code is billable (specific enough for claims)

  4. Explain if more specificity is needed

  5. Provide a validation message

7. Get Chapter#

What it does: Explores ICD-10 code hierarchies by chapter.

Use it for:

  • Understanding code organization

  • Learning code structure

  • Finding all codes in a disease category

  • Medical coding education

Example queries:

  • “Show me the Endocrine chapter”

  • “What codes are in Chapter 2?”

  • “List codes in the Neoplasms chapter”

What Claude will do:

  1. Identify the specified chapter

  2. Show the chapter code range

  3. List all categories within the chapter

  4. Provide chapter description

8. Get Category#

What it does: Finds all codes within a specific category.

Use it for:

  • Navigating from category to specific codes

  • Finding the most specific billable code

  • Understanding code families

  • Selecting appropriate codes

Example queries:

  • “Show me all codes in category E11”

  • “What codes are under C50?”

  • “List all Type 2 diabetes codes”

  • “Find codes in the I10 category”

What Claude will do:

  1. Retrieve all codes in the category

  2. Show the category hierarchy

  3. Indicate which codes are billable

  4. Help you find the most specific code

Usage Examples#

Example 1: Finding the Right Diagnosis Code#

You: “I need the ICD-10 code for type 2 diabetes with kidney complications”

Claude will:

  1. Use the Search Diagnosis by Description tool with “type 2 diabetes kidney”

  2. Find relevant E11 codes with kidney (renal) complications

  3. Present options like E11.21 (with diabetic nephropathy), E11.22 (with diabetic chronic kidney disease)

  4. Explain the differences between codes

  5. Use Validate Code to confirm the selected code is billable

Example 2: Validating Codes for Claim Submission#

You: “I’m submitting a claim with code E11. Is this valid?”

Claude will:

  1. Use the Validate Code tool to check E11

  2. Explain that E11 is a category header (Type 2 diabetes mellitus)

  3. Indicate it’s NOT billable - too general

  4. Use Get Category to show all E11 codes

  5. Suggest more specific billable codes like E11.9 or E11.65

Example 3: Learning Code Structure#

You: “Show me how diabetes codes are organized”

Claude will:

  1. Use Get Chapter to show the Endocrine chapter (E00-E89)

  2. Identify diabetes categories (E08-E13)

  3. Use Search Diagnosis by Code with “E11” prefix

  4. Explain code structure: E11 = Type 2, fourth digit = body system affected, fifth digit = specific complication

  5. Show examples of billable vs. non-billable codes

Need Help?#

For issues or questions about the ICD-10 Codes Connector, see our Troubleshooting Guide.

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