Surgical Coding Reimagined

Recover missed revenue. Cut denials.

Paste an op note — get accurate codes, the unbundling others miss, and audit-ready docs.

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Capture

Op-note · left SFA chronic total occlusion, contralateral access, abdominal aortogram

Upgrade to complex tier37271 37273
CTO documented in the note
Accept
Unbundle the aortogram75625 −59
documentation added to support it ✓
Accept
Add audit-defense paragraph
medical necessity + anatomy documented
DefensibleAccept
CPT + ICD ready
37273 · I70.212 — laterality-correct
Bundling verified
no bundled-pair denials
Unbundle captured
75625-59 — separately billable
Op-note enhanced
audit-defense language added
Prior-auth ready
codes formatted for the form

Everything vascular billing needs

From prior auth to audit defense — the whole revenue cycle, tuned for vascular surgery's territory, bundling, and modifier rules.

Conditional unbundle detected

Contralateral up-and-over access crosses the aorta — the aortogram is a distinct service and may be reported separately with −59.

AcceptDismiss
Vascular-tuned

Built for vascular surgeons

Capture is tuned for vascular CPT — the 35xxx–37xxx series, aortic procedures, and dialysis access — rather than general-purpose medical coding. Higher accuracy than horizontal tools because the model is trained on the cases vascular surgeons actually bill.

Case summary

LLE CLTI — atherectomy + DCB, popliteal & AT

3722537232I70.262I70.263+2 more →
CPT + ICD-10

CPT and ICD-10 from operative notes

Paste an operative note and Capture returns accurate CPT procedure codes and the ICD-10 diagnoses that justify them. Reduces missed coding capture and the denials that follow weak documentation.

“LLE atherectomy + DCB of popliteal and AT, retrograde AT access”

Generated noteDefense-ready

Retrograde access of the left anterior tibial artery was obtained. Directional atherectomy was performed with medically necessary indication documented…

Audit defense

Audit and clawback defense

The Pro tier produces audit-ready documentation packages so your codes hold up under post-payment review. Op-note enhancement fills in the medical-decision-making and anatomical detail payers look for.

Built with surgeons. Accurate by design.

Accuracy is the product. Capture is tuned to how vascular cases are actually coded — and checked against real notes and expert rulings.

Coding-rule accurate

Follows current CPT/ICD-10 and the vascular bundling, tier, and modifier rules — not general-purpose medical coding.

Shaped by surgeons & coders

Built with input from practicing vascular surgeons and certified coders, whose rulings settle the hard bundling and modifier calls.

Tested on real cases

Continuously validated against a growing suite of 100+ real vascular operative notes for CPT/ICD-10 accuracy.

Private by design

HIPAA-aware controls; your data is encrypted in transit and at rest.

It flagged an unbundling opportunity on a fem-pop case we'd been leaving on the table — and wrote the documentation the payer actually asks for.
VSVascular surgeon · Private practice
It codes the way a senior vascular coder would — territory, complexity tier, the right modifiers — so there's far less back-and-forth on op notes.
IRInterventional radiologist · Office-based lab
Paste the op note, review the suggestions, done. It's the first tool that genuinely understands vascular billing.
VSVascular surgeon · Hospital system

Simple Pricing

Choose the plan that fits your practice.

Standard

$499/month

Cancel anytime. Or sign up to try 3 documents free.

ICD-10 and CPT coding only.

Beta · Free

Pro

$999/month

Free to use while in beta — billing starts later.

Everything in Standard, plus operative note generation, op-note enhancement, and audit / clawback defense.

Try Pro free in beta

Custom

Enterprise

Enterprise solutions for missed coding capture, revenue cycle management, and audit protection.

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Frequently asked questions

What does Capture do?
Capture turns operative notes into accurate CPT and ICD-10 billing codes for vascular surgery. The Pro tier also drafts and enhances op-notes and produces audit / clawback defense documentation.
Who is Capture built for?
Capture is purpose-built for the proceduralists who bill peripheral vascular and endovascular cases — vascular surgeons and interventional radiologists, along with their advanced practice providers (PAs and NPs) — in private practice, hospital systems, and multi-specialty groups. It is tuned for the vascular CPT families (the 35xxx–37xxx series, catheter placement, dialysis access, and aortic work) rather than general medical coding.
How much revenue do vascular surgeons lose to missed CPT codes?
Vascular surgery generates high procedural revenue, but documentation burden and coding complexity mean cases are routinely under-coded — often tens of thousands of dollars per surgeon each year in missed capture, on top of denials and post-payment clawbacks. Capture reads the finished operative note and surfaces the codes and modifiers that are easy to miss.
How does Capture handle CPT bundling rules?
Many vascular CPT codes bundle others — a combined endovascular code can include the angioplasty, atherectomy, and stent work performed in the same vessel, and dialysis-circuit codes bundle thrombectomy, angioplasty, and stenting. Capture applies these bundling rules automatically so you don't unbundle services that should be combined (a common audit trigger) or drop work that is separately reportable.
Which CPT modifiers does Capture apply?
Capture reasons about modifiers the way an experienced coder does, from the operative note rather than a fixed checklist — laterality (for example -LT, -RT, or -50 for bilateral procedures), distinct-service modifiers (the -59 / -XE / -XS / -XP / -XU family) applied only where two same-session services genuinely unbundle, and assistant-at-surgery modifiers keyed to the credential in the note (for example -80 for a physician assistant surgeon versus -AS for an NP, PA, or CNS). The examples are illustrative; because it works from the note and the code families, it generalizes to the modifier decisions each case actually calls for.
Which procedures and CPT code families does Capture cover?
Capture works across the full range of peripheral vascular and endovascular work rather than a fixed list of codes. It reasons over the CPT code families the way a coder does — angioplasty, atherectomy, stenting, and combined interventions across each arterial territory (iliac, femoral-popliteal, tibial, inframalleolar), plus catheter placement, dialysis-access circuits, IVUS, and open reconstruction — on the current 2026 code set (for example the 37254–37299 lower-extremity revascularization families). Individual codes are only examples: the model is built to handle new and revised codes within these families, and it has been built and validated with practicing vascular surgeons and interventional radiologists, who bill these same families every day.
Does Capture generate ICD-10 diagnosis codes too?
Yes. For every procedure it codes, Capture also suggests the ICD-10 diagnosis codes that justify it — grounded in the operative note — so the claim has matching procedure and diagnosis coding, including the laterality digit (for example I70.221 for the right leg versus I70.222 for the left).
How does Capture help defend against audits and clawbacks?
Capture produces audit-defensible documentation for the codes it suggests, and the Pro tier enhances operative notes with the medical-decision-making and anatomic detail payers look for on post-payment review. The goal is codes that hold up so you keep the revenue you earned.
How is Capture different from a medical scribe?
A scribe transcribes encounters. Capture is a billing tool: it reads finished operative notes and outputs accurate, defensible CPT/ICD-10 codes specifically for vascular surgery cases.
How is patient data protected?
Capture is a US-based company with HIPAA-aware controls. Contact hello@joincapture.ai for BAA inquiries.
How much does Capture cost?
Standard is $499/month for ICD-10 and CPT coding. Pro is $999/month (coming soon) and adds op-note creation, enhancement, and audit / clawback defense. Enterprise pricing is available for missed coding capture and full revenue cycle management.

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