AI-Powered ICD-10 and CPT Code Suggestions Save Precious Time
A 2024 study covered by the American Medical Association found that primary care physicians spend an average of 36 minutes in the EHR for every 30-minute visit. Much of that time goes to work that happens after the student leaves the room. Coding is one of the biggest parts of it.
Note Agent in MedicatOne offers ICD-10 and CPT code suggestions based on the visit itself. Providers spend less time searching through codes and more time with students.
Why Coding Is a Hidden Time Drain on Campus
College health clinics see waves of demand. Flu season, midterms, and final exams often result in demand peaks! After each visit, a provider still has to turn the conversation they had with the student into the right diagnosis and procedure codes.
That step may seem small, but it adds up over a full clinic day. It often means searching code sets, remembering the right level of detail, and checking that each code lands in the right part of the note. Some common pain points:
- Time pressure: coding pushes documentation into lunch breaks or end of the day
- Missed detail: under stress, it’s easy to capture the main complaint and leave out related diagnoses
- Inconsistent data: when codes vary from provider to provider, patterns in student health visit types and demand are harder to see. For clinic directors and VPSAs, consistently coded data helps surface what students need and make the case for adding additional resources
How Note Agent Suggests ICD-10 and CPT Codes
Note Agent listens to the visit (with the student’s consent) and drafts the clinical note. Once the note is generated, the Coding tab fills with suggested codes. Both ICD-10 and CPT codes appear when they apply.
The provider stays in control the whole time. Nothing gets added to the chart until the provider chooses it. Here’s how the workflow goes:
- Review the suggestions: Look over the list of ICD-10 and CPT code suggestions in the Coding tab.
- Check what fits: Use the checkboxes to select codes matching your clinical judgment. You can also select all.
- Submit each set: Submit ICD-10 codes to the Diagnosis section and CPT codes to the Plan section. Each set is sent separately.
- Confirm the result: A pop-up tells you whether each code was added, or if it’s already in the note.
The process takes seconds, not minutes. It also cuts down on retyping since the codes go straight into the note’s building blocks.
See the Reasoning Behind Every Diagnosis Code
AI tools earn trust when you can see how they reach their answers. That’s why each ICD-10 suggestion includes a Show Evidence option. One click shows why Note Agent suggested each code based on the visit recording.
This helps providers make quick, confident decisions. If the evidence matches what happened in the visit, select the code. If it doesn’t, leave it unchecked and move on.
Example: A Midterm Headache, Coded in Minutes
Picture a student who comes to the health center with a persistent headache during midterms. They mention long nights of studying, poor sleep, extra caffeine intake, and hours spent consecutively on their laptop and phone. The provider focuses on the student, not on typing, while Note Agent records the conversation.
After the note is generated, the Coding tab suggests several options. These include tension-type headache (G44.209), stress due to work schedule (Z56.3), and sleep deprivation (Z72.820). A CPT code for an established patient office visit (99213) appears.
The provider clicks Show Evidence on the stress code. It notes that the headache is linked to stress during midterms, a work-related stressor for students. The provider selects the codes that fit, submits them, and reviews the final note before locking it.
The result is a fuller clinical picture. Sleep and stress factors that might have been skipped in a rush are now part of the record. That supports better follow-up care and clearer trend data across campus.
Counseling and wellness centers can benefit too. When a note type is set up with Note Agent, counselors can review suggested codes after a session instead of starting from scratch.
Key Takeaways
Coding shouldn’t be the reason your providers stay late. ICD-10 and CPT code suggestions in Note Agent turn the visit conversation into codes that providers can review, check, and submit in a few clicks. Show Evidence keeps every decision clear, and providers always make the final call.
