[{"slug":"ZV-2026-1418","server_name":"medical-codes.caseyjhand.com","severity":"breaking","title":"medical-codes.caseyjhand.com: Type of billable on medcode_check_code changed boolean → boolean|null.","summary":"[safe] Description of medcode_check_code changed (16% word delta). [risky] Enum value valid added to status on medcode_check_code. [breaking] Type of billable on medcode_check_code changed boolean → boolean|null. [safe] Description of medcode_get_code changed (10% word delta). [safe] Description of medcode_map_codes changed (7% word delta). [safe] Description of medcode_search_codes changed (10% word delta).","changes":[{"kind":"description_changed","tool":"medcode_check_code","after":"Validate whether a US medical code exists, is current, and is billable in the active bundled release. Returns a discriminated status — valid_billable, valid_not_billable, valid_header, valid, or terminated — with a `whyNot` explaining non-billable and terminated cases (e.g. \"valid ICD-10-CM category but not billable — submit a more specific child code\"). This is the detail a coder needs before submitting a claim. RxNorm has no billing concept, so a current RxNorm concept is `valid` with `billable: null` and no billing verdict. Auto-detects the system from the code's shape; pass an explicit `system` to disambiguate. A non-billable or terminated code is a successful result with a whyNot, not an error — only a code absent from the named or detected system raises unknown_code, which names the other bundled system when one holds the code. A code string that also exists in another bundled system carries `alsoInSystems` naming it, since the verdict applies only to the system that answered.","before":"Validate whether a US medical code exists, is current, and is billable in the active bundled release. Returns a discriminated status — valid_billable, valid_not_billable, valid_header, or terminated — with a `whyNot` explaining non-billable and terminated cases (e.g. \"valid ICD-10-CM category but not billable — submit a more specific child code\"). This is the detail a coder needs before submitting a claim. Auto-detects the system from the code's shape; pass an explicit `system` to disambiguate. A non-billable or terminated code is a successful result with a whyNot, not an error — only a code that exists in no bundled system raises unknown_code. A code string that also exists in another bundled system carries `alsoInSystems` naming it, since the verdict applies only to the system that answered.","detail":"Description of `medcode_check_code` changed (16% word delta).","severity":"safe","descriptionDelta":0.15957446808510634},{"kind":"enum_value_added","path":"outputSchema.properties.status","tool":"medcode_check_code","after":"valid","detail":"Enum value `valid` added to `status` on `medcode_check_code`.","severity":"risky"},{"kind":"output_type_changed","path":"outputSchema.properties.billable","tool":"medcode_check_code","after":"boolean|null","before":"boolean","detail":"Type of `billable` on `medcode_check_code` changed boolean → boolean|null.","severity":"breaking"},{"kind":"description_changed","tool":"medcode_get_code","after":"Decode one or more US medical codes to their official descriptions across ICD-10-CM (diagnoses), ICD-10-PCS (inpatient procedures), HCPCS Level II (supplies/drugs/services), and RxNorm (drugs, by RXCUI). Also decodes a National Drug Code (NDC) directly to its RxNorm product offline, tagged `source: \"NDC\"` — hyphenated in an FDA segment configuration (4-4-2, 5-3-2, 5-4-1, or the 11-digit 5-4-2) or as bare 10/11 digits; any other segment widths are malformed and stay unresolved. Auto-detects the system from each code's shape; pass an explicit `system` only when a value is genuinely ambiguous. Accepts 1–50 codes and returns partial success: resolved codes in `found`, unresolved in `notFound` with a per-code reason, so one bad code never fails the batch. Set `includeHierarchy` to attach each code's parent and immediate children (with a `childrenTruncated` flag when a code has more children than the cap returns — walk the full set via medcode_browse_hierarchy or medcode_map_codes). The resolved `system` is echoed on every result for chaining into a billability check or a medcode_map_codes parents/children walk; a bare integer that resolves nowhere is named as a possible CPT / HCPCS Level I code, which is out of scope, except a bare 10/11-digit one, which is named as an NDC no bundled drug maps to; a code string that also exists in another bundled system carries `alsoInSystems` naming it, so a single answer to a colliding code is never mistaken for the only one.","before":"Decode one or more US medical codes to their official descriptions across ICD-10-CM (diagnoses), ICD-10-PCS (inpatient procedures), HCPCS Level II (supplies/drugs/services), and RxNorm (drugs, by RXCUI). Also decodes a National Drug Code (NDC) directly to its RxNorm product offline, tagged `source: \"NDC\"` — hyphenated in an FDA segment configuration (4-4-2, 5-3-2, 5-4-1, or the 11-digit 5-4-2) or as bare 10/11 digits; any other segment widths are malformed and stay unresolved. Auto-detects the system from each code's shape; pass an explicit `system` only when a value is genuinely ambiguous. Accepts 1–50 codes and returns partial success: resolved codes in `found`, unresolved in `notFound` with a per-code reason, so one bad code never fails the batch. Set `includeHierarchy` to attach each code's parent and immediate children (with a `childrenTruncated` flag when a code has more children than the cap returns — walk the full set via medcode_browse_hierarchy or medcode_map_codes). The resolved `system` is echoed on every result for chaining into medcode_map_codes or a billability check; a code string that also exists in another bundled system carries `alsoInSystems` naming it, so a single answer to a colliding code is never mistaken for the only one.","detail":"Description of `medcode_get_code` changed (10% word delta).","severity":"safe","descriptionDelta":0.09999999999999998},{"kind":"description_changed","tool":"medcode_map_codes","after":"Crosswalk a US medical code or drug across systems and within a hierarchy. Hierarchy directions: `parents` and `children` walk a code's prefix hierarchy one level per call — immediate parent/children only (depth-1); call iteratively for the full ancestor or descendant path (ICD-10-CM/HCPCS; ICD-10-PCS codes have no prefix parent, and RxNorm concepts no code hierarchy). A resolvable source with no edge in the requested direction is a successful empty result with a notice, not an error. A source code string that also exists in another bundled system carries `alsoInSystems` naming it, since only the resolved system's hierarchy was walked. Drug directions (RxNorm): `name_to_rxcui` (drug name → RXCUI), `ndc_to_rxcui` and `rxcui_to_ndc` (NDC ↔ RXCUI; NDCs accepted hyphenated in an FDA segment configuration — 4-4-2, 5-3-2, 5-4-1, or the 11-digit 5-4-2 — or as bare 10/11 digits; `ndc_to_rxcui` names the product it decoded to), `rxcui_to_ingredients` and `rxcui_to_brands` (RXCUI → ingredient/brand RXCUIs, each with the target's RxNorm name and its `conceptType` — read that before counting a combination product's ingredients). Every result carries `source` provenance (which system or edge answered) so a chained call (e.g. into openfda with a resolved NDC) uses the right identifier. The `children`, `name_to_rxcui`, and `rxcui_to_ndc` directions can return large sets and paginate: a `nextCursor` in the response is passed back as `cursor` (with an optional `limit` page size) to walk the full set. A field the direction does not use is rejected with `field_not_applicable`: `limit` and `cursor` on the point directions, and a `system` other than RXNORM on the drug directions.","before":"Crosswalk a US medical code or drug across systems and within a hierarchy. Hierarchy directions: `parents` and `children` walk a code's prefix hierarchy one level per call — immediate parent/children only (depth-1); call iteratively for the full ancestor or descendant path (ICD-10-CM/HCPCS; ICD-10-PCS codes have no prefix parent). A resolvable source with no edge in the requested direction is a successful empty result with a notice, not an error. A source code string that also exists in another bundled system carries `alsoInSystems` naming it, since only the resolved system's hierarchy was walked. Drug directions (RxNorm): `name_to_rxcui` (drug name → RXCUI), `ndc_to_rxcui` and `rxcui_to_ndc` (NDC ↔ RXCUI; NDCs accepted hyphenated in an FDA segment configuration — 4-4-2, 5-3-2, 5-4-1, or the 11-digit 5-4-2 — or as bare 10/11 digits; `ndc_to_rxcui` names the product it decoded to), `rxcui_to_ingredients` and `rxcui_to_brands` (RXCUI → ingredient/brand RXCUIs, each with the target's RxNorm name and its `conceptType` — read that before counting a combination product's ingredients). Every result carries `source` provenance (which system or edge answered) so a chained call (e.g. into openfda with a resolved NDC) uses the right identifier. The `children`, `name_to_rxcui`, and `rxcui_to_ndc` directions can return large sets and paginate: a `nextCursor` in the response is passed back as `cursor` (with an optional `limit` page size) to walk the full set; the point directions ignore both.","detail":"Description of `medcode_map_codes` changed (7% word delta).","severity":"safe","descriptionDelta":0.07236842105263153},{"kind":"description_changed","tool":"medcode_search_codes","after":"Find US medical codes whose official descriptions match a described concept, via full-text search over the bundled index. Every search term must appear — matched first as a token prefix, then as a substring so inflected and compound forms are also found (a \"neuropathy\" search surfaces \"mononeuropathy\"/\"polyneuropathy\" siblings too, not only a standalone \"neuropathy\" token). An RxNorm concept matches on its drug name alone, never its term type (SBD, IN, …) — narrow by type with `chapter`. Filter by `system` (ICD10CM/ICD10PCS/HCPCS/RXNORM), `billableOnly` to exclude headers/categories, and `chapter`. Use when you have a clinical description and need the code — the reverse of medcode_get_code. Results echo the resolved system per row for chaining, rank exact prefix matches ahead of substring-only matches with a deterministic tie-break, and disclose truncation with a `nextCursor`: pass it back as `cursor` to page through the full ranked set.","before":"Find US medical codes whose official descriptions match a described concept, via full-text search over the bundled index. Every search term must appear — matched first as a token prefix, then as a substring so inflected and compound forms are also found (a \"neuropathy\" search surfaces \"mononeuropathy\"/\"polyneuropathy\" siblings too, not only a standalone \"neuropathy\" token). Filter by `system` (ICD10CM/ICD10PCS/HCPCS/RXNORM), `billableOnly` to exclude headers/categories, and `chapter`. Use when you have a clinical description and need the code — the reverse of medcode_get_code. Results echo the resolved system per row for chaining, rank exact prefix matches ahead of substring-only matches with a deterministic tie-break, and disclose truncation with a `nextCursor`: pass it back as `cursor` to page through the full ranked set.","detail":"Description of `medcode_search_codes` changed (10% word delta).","severity":"safe","descriptionDelta":0.10185185185185186}],"published_at":"2026-09-24T18:35:12.644Z"},{"slug":"ZV-2026-1203","server_name":"medical-codes.caseyjhand.com","severity":"breaking","title":"medical-codes.caseyjhand.com: Type of whyNot on medcode_check_code changed unset → string|null.","summary":"[breaking] Type of whyNot on medcode_check_code changed unset → string|null. [breaking] Type of resolvedSystem on medcode_map_codes changed unset → string|null.","changes":[{"kind":"output_type_changed","path":"outputSchema.properties.whyNot","tool":"medcode_check_code","after":"string|null","before":"unset","detail":"Type of `whyNot` on `medcode_check_code` changed unset → string|null.","severity":"breaking"},{"kind":"output_type_changed","path":"outputSchema.properties.resolvedSystem","tool":"medcode_map_codes","after":"string|null","before":"unset","detail":"Type of `resolvedSystem` on `medcode_map_codes` changed unset → string|null.","severity":"breaking"}],"published_at":"2026-09-19T18:44:13.650Z"}]