Patient presents with symptoms consistent with a Mood Disorder, specifically [Specify Major Depressive Disorder, Bipolar I Disorder, Bipolar II Disorder, Persistent Depressive Disorder (Dysthymia), Cyclothymic Disorder, or other specified mood disorder].  Differential diagnosis includes consideration of medical conditions such as hypothyroidism, substance use disorders, and other psychiatric diagnoses including anxiety disorders and personality disorders.  Patient reports [Specific symptoms e.g., depressed mood, anhedonia, irritability, labile affect, sleep disturbance, fatigue, changes in appetite or weight, feelings of worthlessness or guilt, difficulty concentrating, psychomotor agitation or retardation, suicidal ideation with or without plan].  Symptom onset reported as [Date or timeframe].  Severity of symptoms is impacting [Areas of functioning e.g., occupational, social, interpersonal].  Family history is significant for [Relevant family history of mood disorders or other mental health conditions].  Current medications include [List current medications].  Allergies include [List allergies].  Mental status examination reveals [Objective findings e.g., affect, mood, thought process, thought content, insight, judgment].  Patient denies [Pertinent negatives e.g., hallucinations, delusions].  Based on the clinical interview, presenting symptoms, and diagnostic criteria as per the DSM-5, the diagnosis of [Specific Mood Disorder] is made.  Treatment plan includes [Psychotherapy such as Cognitive Behavioral Therapy (CBT), Interpersonal Therapy (IPT),  pharmacotherapy including antidepressants, mood stabilizers, antipsychotics as indicated, patient education regarding mood disorder management, referral to psychiatrist for medication management as needed, and close monitoring of symptoms and response to treatment].  Patient education regarding medication side effects, potential drug interactions, and importance of adherence was provided.  Risks and benefits of treatment options were discussed.  Follow-up appointment scheduled for [Date] to assess treatment response and adjust plan as necessary.  Prognosis discussed with patient.  Coding considerations include [Relevant ICD-10 codes e.g., F32, F31, F33, F34.1]. Medical billing for this encounter will include [Relevant CPT codes e.g., 99214, 90837, 90840] depending on the complexity of the visit.