> ## Documentation Index
> Fetch the complete documentation index at: https://agents.nanonets.com/docs/llms.txt
> Use this file to discover all available pages before exploring further.

# Coding Skip Checks

> This document covers the deterministic skip-decision rules used by the realtime coding workflow.

This document covers the deterministic skip-decision rules used by the realtime coding workflow. These rules are now implemented by the `coding_skip_check` backend tool (see [coding-skip-check.md](/docs/tools/coding-skip-check)); this page describes the rules it applies. Call the tool after each relevant EHR fetch step.

## Agent Skip-Check Instructions

Run deterministic checks before the workflow spends API and LLM budget. Apply them twice:

1. After summary fetch, to reject encounters that are not ready or already coded.
2. After patient-level signal fetch, to reject alert-driven self-pay/cash-pay/Buy-Bill/provider cases.

### Inputs To Inspect

Required:

* `ehr_type`: `athenaHealth`, `DrChrono`, or `amd`.

Optional:

* `summary`
* `documentation`
* `chart_alert`
* `doctor_flags`
* `allowed_appointment_types`
* `blocked_department_ids`
* `force_recode`

### Checks

The agent should check for:

* existing procedure codes when `force_recode=false`,
* blocked department signals,
* DrChrono clinical note not locked,
* Athena multi-appointment same-day signals,
* chart-alert self-pay/cash-pay signals,
* DrChrono cash-pay flags.

### Output Shape

```json theme={null}
{
  "success": true,
  "skip": true,
  "status": "skipped",
  "reason": "EHR already has procedure codes",
  "reasons": ["EHR already has procedure codes"]
}
```

## Agent Instruction Guidance

If `skip=true`, stop the workflow and show the reason in the task feed. Do not fetch documentation or call LLM tools.