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MedveriCodex

Encounter — Dorothy Wilson

New Patient | Dr. Michael Torres | 2/14/2026

Pipeline Status

Received
CDI Review
AI Coding
Compliance
Denial Check
Ready
Submitted

Clinical Note

Initial psychiatric evaluation, 60 minutes. Patient is a 52-year-old female referred for anxiety and depressive symptoms following workplace injury. History of generalized anxiety disorder for 10+ years, worsened in past 3 months. Reports persistent worry, muscle tension, irritability, sleep onset insomnia. PHQ-9: 11. GAD-7: 16. MSE: anxious affect, linear thought process, no psychotic features, no SI. Started buspirone 10mg BID. Discussed CBT referral. Return in 4 weeks.

Coding Results

ICD-10-CM Diagnoses

F41.1Generalized anxiety disorder
96%
F33.0Major depressive disorder, recurrent, mild
84%
G47.00Insomnia, unspecified
78%

CPT Procedures

90792Psychiatric diagnostic evaluation with medical services
95%

Details

Patient
Dorothy Wilson
Provider
Dr. Michael Torres
Specialty
Psychiatry
Payer
Aetna
Visit Type
New Patient
Date of Service
2/14/2026
Revenue Impact
$287

CDI Review

QUERY

Findings (3)

  • Diagnosis F33.0 (recurrent MDD) documented but note only describes current episode — missing prior episode documentation to support 'recurrent' specifier
  • GAD-7 score supports anxiety diagnosis but PHQ-9 score of 11 is borderline — ensure clinical justification documented
  • Missing documentation of medical necessity for 90792 vs 90791 — include physical exam components or medication management rationale

Compliance Check

79/ 100
Denial RiskHigh Risk

Payer: Aetna