Loading metrics Open Access Peer-reviewed Research Article Citation: Coutinho I, Correia GM, Martins B, Moreira A, Peralta-Santos A (2026) ICD coding of death certificates with generative language models. PLOS Digit Health 5(2): e0001245. https://doi.org/10.1371/journal.pdig.0001245 Editor: Matthew Crowson, Harvard Medical School, UNITED STATES OF AMERICA Received: June 27, 2025; Accepted: January 29, 2026; Published: February 24, 2026 Copyright: © 2026 Coutinho et al.