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ICD-10 Coding for Current Mild Episode of Major Depressive Disorder(F32.0, F33.0)

Complete ICD-10-CM coding and documentation guide for Current Mild Episode of Major Depressive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Mild Episode of Recurrent Major Depressive DisorderCurrent Mild Episode of MDD

Related ICD-10 Code Ranges

Complete code families applicable to Current Mild Episode of Major Depressive Disorder

F32-F33Primary Range

Depressive episodes and recurrent depressive disorder

This range includes codes for major depressive disorder episodes, both single and recurrent, with varying severities.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
F32.0Major depressive disorder, single episode, mildUse for a first depressive episode with mild symptoms and no prior history of depression.
  • PHQ-9 score between 5-9
  • Symptoms include persistent sadness, loss of interest, mild functional impairment
F33.0Major depressive disorder, recurrent, mildUse for recurrent depressive episodes with mild symptoms.
  • PHQ-9 score between 5-9
  • History of at least two prior depressive episodes

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for mild episode of major depressive disorder

Essential facts and insights about Current Mild Episode of Major Depressive Disorder

The ICD-10 code for a current mild episode of major depressive disorder is F32.0 for a single episode and F33.0 for recurrent episodes.

Primary ICD-10-CM Codes for current mild episode of major depressive disorder

Major depressive disorder, single episode, mild
Billable Code

Decision Criteria

clinical Criteria

  • PHQ-9 score between 5-9 with mild functional impairment

documentation Criteria

  • Explicit mention of 'single episode, mild'

Applicable To

  • Single episode of mild depression

Excludes

  • Bipolar disorder
  • Adjustment disorder with depressed mood

Clinical Validation Requirements

  • PHQ-9 score between 5-9
  • Symptoms include persistent sadness, loss of interest, mild functional impairment

Code-Specific Risks

  • Incorrect coding if severity is not documented
  • Potential claim denial if unspecified codes are used

Coding Notes

  • Ensure documentation specifies 'single episode, mild' to avoid unspecified coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Disruption of family by separation/divorce

Z63.5
Use when family disruption is a contributing factor to the depressive episode.

Personal history of psychological trauma

Z91.4
Use when psychological trauma is a contributing factor to the recurrent depressive episode.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Dysthymia (persistent depressive disorder)

F34.1
Dysthymia is characterized by chronic depression lasting for at least two years.

Adjustment disorder with depressed mood

F43.21
Adjustment disorder is related to a specific stressor and resolves within six months.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Current Mild Episode of Major Depressive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F32.0.

Impact

Clinical: May lead to inappropriate treatment plans, Regulatory: Non-compliance with documentation standards, Financial: Potential for claim denials

Mitigation Strategy

Include specific details about episode type and severity, Document PHQ-9 scores and functional impact

Impact

Reimbursement: May lead to claim denials, Compliance: Non-compliance with coding guidelines, Data Quality: Decreases accuracy of health records

Mitigation Strategy

Ensure documentation specifies episode type and severity

Impact

Frequent use of F32.9 without justification

Mitigation Strategy

Ensure documentation specifies episode type and severity

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Current Mild Episode of Major Depressive Disorder, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Current Mild Episode of Major Depressive Disorder

Use these documentation templates to ensure complete and accurate documentation for Current Mild Episode of Major Depressive Disorder. These templates include all required elements for proper coding and billing.

Mild depressive episode documentation

Specialty: Psychiatry

Required Elements

  • Patient demographics
  • Diagnosis
  • Episode type
  • Severity
  • Symptoms
  • Functional impact
  • Treatment plan

Example Documentation

33yo F with recurrent MDD. Current episode: mild severity (PHQ-9=7). Symptoms include low mood, anhedonia ×4 weeks, mild insomnia. No suicidal ideation. Functional impairment: difficulty concentrating at work. Plan: Continue CBT weekly, monitor for progression to moderate severity.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Depression improved.
Good Documentation Example
MDD, recurrent, mild: PHQ-9 decreased from 8 to 5 over 6 weeks. Partial remission achieved with sertraline 50mg daily.
Explanation
The good example specifies the diagnosis, severity, PHQ-9 score, and treatment response, improving clarity and coding accuracy.

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