AI documentation built for orthopedic surgery
Stop dictating operative reports at 9 PM. Eluve listens to your consultations and procedures, then generates structured notes — from SOAP visits to detailed operative reports to post-op follow-ups — in real time.
75%
less time charting
2 min
average note turnaround
99%
documentation accuracy
Built for your workflow
Ambient Operative & Visit Notes
Eluve captures your clinic visits and intraoperative narration, then generates structured documentation — history, physical exam, imaging review, surgical approach, implants used, and post-operative instructions — without you typing a word.
Auto Billing & Coding
CPT codes for arthroscopy, arthroplasty, fracture care, and injections are suggested automatically with correct modifiers and laterality. ICD-10 codes reflect the specificity payers require — down to fracture type, encounter stage, and affected side.
Operative Report Generation
Detailed operative reports are generated from your intraoperative narration — including patient positioning, surgical approach, instrumentation, implant details, intraoperative findings, and closure technique. Ready to review and sign before you leave the OR.
Post-Op & Rehab Protocols
Structured post-operative care plans with weight-bearing status, range-of-motion restrictions, physical therapy milestones, and return-to-activity timelines are generated automatically from the procedure performed.
Referral & Pre-Auth Letters
Referral letters to physical therapy, pain management, and other specialists are drafted from the encounter. Prior authorization letters include the clinical rationale, imaging findings, and failed conservative treatment documentation that payers require.
Post-Op Medication Summaries
Pain management plans, DVT prophylaxis protocols, and post-operative medication instructions discussed during the visit are captured automatically. Patient-friendly summaries include dosage schedules and precautions.
Every visit type, one AI medical scribe
Orthopedic practices handle a wide range of encounters — from clinic consults to complex surgeries. Eluve handles all of them with specialty-tuned documentation.
New Patient Consult
Initial evaluation with history, physical exam, imaging review, and treatment plan discussion
Post-Op Follow-Up
Wound checks, range-of-motion assessment, imaging review, and rehab progression at 2, 6, and 12 weeks
Fracture Care
Acute fracture evaluation, reduction, casting/splinting, and serial follow-up with imaging
Joint Injection
Corticosteroid, viscosupplementation, and PRP injections with or without ultrasound guidance
Pre-Op Planning
Surgical consent, templating, pre-operative labs and clearance, and anesthesia coordination
Arthroscopic Surgery
Knee, shoulder, hip, and ankle arthroscopy with diagnostic and therapeutic components
Joint Replacement
Total and partial arthroplasty of the hip, knee, and shoulder with implant documentation
Spine Consultation
Cervical and lumbar disc herniation, stenosis, spondylolisthesis evaluation, and fusion planning
Sports Medicine
ACL, meniscus, rotator cuff, and ligament injuries in athletes — conservative and surgical management
Workers' Comp Evaluation
Work-related injury assessment, functional restrictions, causation documentation, and return-to-work planning
How a visit works with Eluve
Patient history and imaging at your fingertips
Eluve compiles the patient's surgical history, prior imaging reports, current medications, physical therapy progress, and relevant specialist notes into a concise pre-visit brief. Whether it's a new consult for knee pain or a 6-week post-op check, you're prepared before the patient walks in.
You examine, Eluve documents
Focus on your physical exam and patient discussion. Eluve captures the conversation in the background — range of motion findings, special test results, imaging interpretation, surgical indications, and treatment decisions. In the OR, it generates operative reports from your intraoperative narration including approach, findings, implants, and technique.
Notes, orders, letters — done
Review your finished clinic note or operative report, confirm suggested CPT and ICD-10 codes with correct modifiers, generate physical therapy referrals and post-op protocols, and send patient-friendly visit summaries — all from the same encounter. Sign off in under a minute and move to your next patient.
Better documentation means fewer denied claims and more captured revenue
Orthopedic practices lose significant revenue to downcoding, bundling errors, and missed modifiers. The gap is in documentation — and Eluve closes it.
More
complete documentation per visit
When the ambient scribe captures the full encounter — every condition addressed, every clinical decision, every procedure — your documentation supports the true complexity of each visit without extra work.
Fewer
denied claims
Documentation that captures the clinical reasoning, medical necessity, and payer-specific detail from the start means fewer gaps for payers to deny on — and less time spent on appeals.
90-day
Global period tracking
Eluve tracks active global surgical periods for every patient so you never miss a separately billable service or accidentally bill within a global package — protecting revenue and compliance simultaneously.
3 hrs
Saved per surgeon per day
Less time dictating operative reports, typing clinic notes, and chasing modifier questions means you leave the hospital on time — or fit in the extra cases your schedule demands.
If you ever get audited, your notes are ready
Orthopedic surgery faces some of the highest audit scrutiny in medicine — high-value procedures, complex modifiers, and bundling rules. Eluve structures every note so it holds up under review.
Operative Report Completeness
Eluve ensures every operative report includes the required elements — indication, approach, findings, technique, implant details, complications, and disposition — so nothing is missing when a payer or auditor reviews the record.
Medical Necessity Documentation
For joint replacements and other high-scrutiny procedures, Eluve compiles the conservative treatment timeline — PT sessions, injection history, medication trials — directly into the surgical documentation to support medical necessity.
Modifier Accuracy
Laterality (-RT/-LT/-50), distinct procedures (-59/-XE/-XS), staged surgeries (-58), and unrelated E&M during global periods (-24) — Eluve applies the correct modifier logic to every claim before submission.
NCCI Bundling Compliance
Eluve checks procedure code pairs against NCCI edits and flags when codes should be bundled vs. when a modifier is appropriate, reducing audit risk from incorrect unbundling.
HIPAA-Compliant by Default
All data is encrypted in transit and at rest. Eluve is SOC 2 Type II certified and operates under a BAA with every practice. Your patient data is never used to train AI models.
See what Eluve generates
Every clinic is different. Switch between note styles to see how Eluve adapts to your preferred level of detail.
Post-Operative Follow-Up Note
Chief Complaint
6-week post-operative follow-up, right total knee arthroplasty.
History of Present Illness
68-year-old female status post right total knee arthroplasty (CPT 27447) performed 6 weeks ago for end-stage tricompartmental osteoarthritis (M17.11). Reports steady improvement in pain and function. Currently walking with a single-point cane for longer distances only. Pain rated 2-3/10, down from 8/10 pre-operatively. Completing physical therapy 2x/week — good compliance. Able to perform straight-leg raise. Reports no fever, chills, or wound drainage. Denies calf pain or swelling. Discontinued Lovenox DVT prophylaxis at 4 weeks per protocol.
Physical Examination
Surgical incision: well-healed, no erythema, no drainage, staples removed at 2 weeks. Mild residual warmth. Range of motion: 0-110 degrees (goal >120 by 12 weeks). Extensor mechanism intact — active straight-leg raise demonstrated. Mild periarticular edema, improving. No calf tenderness. Pedal pulses palpable. Sensation intact. Gait: antalgic with cane, improved stride length compared to 2-week visit.
Imaging Review
AP and lateral radiographs of the right knee: components well-fixed and well-aligned. Tibial and femoral components in satisfactory position. No periprosthetic fracture. No evidence of loosening.
Assessment
1. Right total knee arthroplasty — progressing well at 6 weeks 2. Aftercare following right knee joint replacement — Z96.651, Z47.1
Plan
1. Continue physical therapy 2x/week — advance ROM and strengthening protocol 2. Goal: full extension and 120+ degrees flexion by 12 weeks 3. Wean from cane as tolerated over next 2 weeks 4. May begin stationary bike and pool therapy 5. Continue icing and elevation for swelling management 6. No high-impact activities for 3 months 7. Follow-up in 6 weeks with repeat radiographs 8. Return sooner if increasing pain, swelling, warmth, drainage, or fever >101.5F
Generated from a 10-minute post-operative follow-up
Frequently asked questions
Yes. Eluve is purpose-built for orthopedic workflows and understands the specialty's unique terminology, exam structures, and documentation requirements. It recognizes anatomical landmarks, surgical approach descriptions, implant systems, and rehabilitation protocols — generating operative reports, clinic notes, and post-op documentation that match how orthopedic surgeons actually practice.
Eluve captures range of motion findings in degrees for each joint and plane of motion as you state them during the exam, and documents them in standard orthopedic format. It also recognizes fracture classification systems — Schatzker, Neer, Garden, Weber, and others — and maps them to the correct ICD-10 codes with the appropriate 7th character for initial, subsequent, or sequela encounters.
Yes. Eluve captures implant manufacturer, system name, component sizes, and catalog numbers from your intraoperative narration and includes them in the operative report. This level of detail satisfies both Medicare documentation requirements for total joint replacements and commercial payer expectations for implant-intensive procedures.
Yes. Eluve recognizes orthopedic-specific language including anatomical landmarks, special tests (McMurray, Lachman, Neer, Hawkins), implant systems, surgical approaches, fracture classifications (Schatzker, Neer, Garden), and rehabilitation protocols.
Yes. Eluve captures your intraoperative narration and generates structured operative reports including patient positioning, approach, instrumentation, findings, implant details, closure technique, and disposition. Reports are ready to review before you leave the OR.
Yes. Eluve suggests CPT codes across the full 20000-29999 musculoskeletal range — arthroplasty, arthroscopy, fracture care, injections, and E/M visits — with correct modifiers for laterality, multiple procedures, and staged surgeries. ICD-10 codes include the specificity payers require.
Eluve tracks the 0, 10, and 90-day global periods for surgical procedures. It flags when a post-operative visit falls within the global package and when a separately billable complication or unrelated condition warrants a distinct E/M charge with modifier -24.
Yes. Eluve produces structured post-operative rehabilitation plans based on the procedure performed — including weight-bearing restrictions, range-of-motion goals, physical therapy milestones, and return-to-activity timelines. Protocols can be customized to your practice preferences.
Eluve is HIPAA compliant and SOC 2 Type II certified. All data is encrypted in transit and at rest. We offer a Business Associate Agreement (BAA) for every practice. Your data is never used to train AI models.
Most orthopedic practices are fully operational within a week. Eluve integrates with your existing EHR and adapts to your preferred note templates, operative report formats, and post-op protocols from day one.
Yes. Eluve is built for surgeons running full operative days and busy clinic schedules. Notes and operative reports are generated in real time so documentation never backs up, whether you're seeing 25 clinic patients or performing 8 surgeries in a day.
Ready to leave the OR without a documentation backlog?
Join hundreds of orthopedic surgeons who've eliminated after-hours dictation and coding headaches with Eluve.
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