Orthopedic coding refers to the assignment of CPT and ICD-10 codes for musculoskeletal diagnoses and procedures, including fracture care, joint replacements, spinal surgeries, arthroscopy, sports medicine procedures, and physical therapy services. Orthopedic encounters are among the most complex to code accurately, requiring high specificity for laterality, approach, device type, fracture classification, and procedure combination. Accurate orthopedic coding is critical for avoiding denials and capturing the full value of complex musculoskeletal cases. Autonomous medical coding technology addresses these challenges by interpreting detailed operative and clinical documentation to produce complete, compliant code sets with zero manual intervention.