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medical.icd10

Verify ICD-10-CM diagnosis codes or search by keyword. Returns verified flag, child codes, billable status, and descriptions from official US data.

Instructions

Verify an ICD-10-CM diagnosis code (with or without the dot, e.g. E11.9) or keyword-search the official US code set (FY2026, ~98k entries). Returns a verified flag, the exact match, more-specific child codes, billable status, and short/long descriptions. CMS/NCHS public-domain data, refreshed each US fiscal year. Provide exactly one of code or q.

Input Schema

TableJSON Schema
NameRequiredDescriptionDefault
qNoKeyword search over official code descriptions, e.g. "type 2 diabetes neuropathy".
codeNoICD-10-CM code to verify, e.g. E11.9 or E119. Provide code or q, not both.
limitNo
billable_onlyNoWhen true, only codes valid for claim submission.
Behavior4/5

Does the description disclose side effects, auth requirements, rate limits, or destructive behavior?

With no annotations, the description carries full burden. It discloses return fields and data source but does not mention side effects or auth. For a read-only tool, it is largely transparent.

Agents need to know what a tool does to the world before calling it. Descriptions should go beyond structured annotations to explain consequences.

Conciseness5/5

Is the description appropriately sized, front-loaded, and free of redundancy?

Three sentences, no fluff, front-loaded with the core action. Every sentence adds value.

Shorter descriptions cost fewer tokens and are easier for agents to parse. Every sentence should earn its place.

Completeness4/5

Given the tool's complexity, does the description cover enough for an agent to succeed on first attempt?

No output schema, but description lists return fields. Covers data source and refresh. Missing error conditions, but adequate for a verification/search tool.

Complex tools with many parameters or behaviors need more documentation. Simple tools need less. This dimension scales expectations accordingly.

Parameters3/5

Does the description clarify parameter syntax, constraints, interactions, or defaults beyond what the schema provides?

Schema coverage is 75% (limit missing description). Description adds context for the primary parameters but does not explain 'limit'. It ties parameters to the two modes but adds marginal value over schema.

Input schemas describe structure but not intent. Descriptions should explain non-obvious parameter relationships and valid value ranges.

Purpose5/5

Does the description clearly state what the tool does and how it differs from similar tools?

The description clearly states the verb (verify or keyword-search) and resource (ICD-10-CM code set). It distinguishes between two modes and among siblings, no other ICD-10 tool exists, so it is distinct.

Agents choose between tools based on descriptions. A clear purpose with a specific verb and resource helps agents select the right tool.

Usage Guidelines4/5

Does the description explain when to use this tool, when not to, or what alternatives exist?

The description explicitly says 'Provide exactly one of code or q', giving clear input constraints. It does not mention when to avoid using this tool, but context is clear for a single-purpose tool.

Agents often have multiple tools that could apply. Explicit usage guidance like "use X instead of Y when Z" prevents misuse.

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