Supported Coding Systems

Medera coding systems and their feature availability.

Feature matrix

System	Realm	BH calibrated	Specificity expansion	PA detection	Span anchors	Status
ICD-10-CM	US	✓ (F-codes)	✓	✓	✓	GA
ICD-10-PCS	US inpatient	beta	✓	—	✓	beta
ICD-10 (WHO)	International	✓ (F-codes)	✓	—	✓	GA
CPT	US outpatient	✓ (psychotherapy + E/M)	✓ (E&M level)	✓	✓	GA
HCPCS Level II	US	✓ (BH-specific H- and S-codes)	—	✓	✓	GA
SNOMED CT	International	✓ (BH concepts)	✓	—	✓	GA
LOINC	International	✓ (PHQ-9, GAD-7, AUDIT-C, C-SSRS instruments)	—	—	✓	GA
RxNorm	US	✓ (psychotropics + general)	—	✓ (formulary check)	✓	GA

Recommended pairings

Encounter type	Code systems
BH outpatient (psychiatry)	ICD-10-CM (F-codes) + CPT (E/M + 90791 / 90792 + 9083x) + RxNorm
BH telehealth	ICD-10-CM + CPT (with modifier 95) + RxNorm
CoCM (Collaborative Care)	ICD-10-CM + CPT (99491–99494, G2214)
Psychotherapy (LCSW/LMFT)	ICD-10-CM + CPT (9083x)
Crisis intervention	ICD-10-CM + CPT (90839/90840) or HCPCS H2011
Lab order (BH)	LOINC + ICD-10-CM
Prescription (psychotropic)	RxNorm + ICD-10-CM

Sequencing

For systems where order affects reimbursement — ICD-10-CM and ICD-10-PCS — Medera returns codes in clinical-significance order. The principal diagnosis or principal procedure appears first, followed by secondary diagnoses and additional procedures.

Sequencing is currently in alpha for ICD-10-CM and ICD-10-PCS. See the Core Concepts page for the sequencing semantics.

What’s next

Quickstart

Suggest codes for your first note.

Encounter Coding

Per-encounter use cases.

CDI

Documentation gaps as queries.

Revenue Cycle

Sweeps + audits.

Quickstart — Coding Encounter Coding

​Feature matrix

​Recommended pairings

​Sequencing

​What’s next

Quickstart

Encounter Coding

CDI

Revenue Cycle

Feature matrix

Recommended pairings

Sequencing

What’s next