Althea Smart EHR’s AI Billing Assistant automatically applies orthopedic modifiers from documentation: -25 when a significant separately identifiable E&M is performed with a same-day procedure, plus -59, -RT, -LT, -50, and global period modifiers (-24, -57, -78, -79). These are the most consistently under-captured modifiers in orthopedic billing, and Althea ensures every qualifying claim is coded correctly.