It won't code a diagnosis you didn't confirm
Most AI documentation tools generate a code first and let you correct it after. Cognivolt does the opposite, on purpose, with no exceptions — and then codes the visit properly, add-ons included.
What exactly waits behind the gate?
Three things, all held until you confirm the diagnosis yourself.
ICD-10 / CPT coding
Generated only after you confirm the diagnosis — never offered first for you to correct afterward.
Clinical guidelines
Generated for the diagnosis you confirmed, not a guess at what it might be.
Patient psychoeducation
Ready to hand to the patient once the diagnosis is yours, not the model’s.
This is the one design decision we won't compromise on: nothing downstream of a diagnosis — no ICD-10 code, no CPT code, no clinical guideline, no psychoeducation handout — generates until you personally confirm the diagnosis. If you've been wary of AI documentation tools for exactly this reason, that gate is the whole point.
And once the gate opens, what actually comes out?
Not a bare code and a shrug. Five things, every time, in the coding card — all of them editable inline before anything is signed or exported.
Primary and supporting ICD-10. The diagnosis you confirmed, plus the codes an encounter carries alongside it — long-term drug therapy status, the Z-codes the visit documents — listed separately rather than mixed into the primary.
A visit code at the complexity you actually documented. Phrased the way a coder would phrase it — established patient, moderate complexity — off the session itself, not off the diagnosis name alone.
Psychotherapy add-ons, timed for you. +90833, +90836 or +90838 where the visit supports one, with the psychotherapy time read off the recording and the code looked up in a fixed table. US mental-health visits with an E/M code to attach to; nothing is offered where it would not be billable.
The right coding system for your country. Cognivolt codes in the system your own payers actually require — OPCS-4, MBS item numbers, EBM/GOÄ, CCI, and CPT itself where it is mandated outside the US, as in the UAE and Saudi Arabia — and names that system on every code. Where a country has no standardised visit-coding system in routine billing, the field is left empty rather than filled with an invented item number.
An HCC note, or an honest blank. Which risk-adjustment categories this documentation would genuinely support. Where a code cannot be produced with real confidence, the field is left empty rather than filled with “unable to determine”.
Do I have to time the psychotherapy myself?
No. That is the part every other tool hands back to you — a stopwatch, or a box asking how many minutes of the visit were therapy. Cognivolt reads the psychotherapy time off the session it already transcribed and diarized, rounds it down rather than up, and the code is then looked up in a fixed time table in our own code. The model writes the modality and the interventions; it never picks the code. The minutes it used are printed next to the code, and the whole card is editable before you sign it.
Why does the order matter?
A code generated before you've confirmed the diagnosis is a suggestion dressed up as an answer — easy to accept without a second look, especially at the end of a long clinic day. Gating it behind your own confirmation means the model is never the one deciding what the patient was seen for.
Does this slow me down?
Confirming a diagnosis is a normal part of finishing a note either way — the difference is that coding, guidelines and psychoeducation then generate immediately after, in seconds, rather than needing to be corrected after the fact.
How does this connect to the differential diagnosis feature?
Evidence-backed differentials are offered as considerations before you confirm, but they're offered as options to weigh, not a diagnosis already coded and waiting for a signature. See the full CDS layer.
Which coding system applies in my country?
See the confirmed list of which visit/procedure system applies where — honestly scoped to the countries actually checked, not a guessed global table.
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