ICD-10 Coding for Major Depression Recurrent Moderate(F33.1)
Complete ICD-10-CM coding and documentation guide for Major Depression Recurrent Moderate. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Major Depression Recurrent Moderate
F33-F33.9Primary Range
Major depressive disorder, recurrent
This range includes all recurrent episodes of major depressive disorder, categorized by severity.
Key Information: ICD-10 code for major depression recurrent moderate
Essential facts and insights about Major Depression Recurrent Moderate
Primary ICD-10-CM Code for major depression recurrent moderate
Decision Criteria
clinical Criteria
- Patient presents with moderate depressive symptoms and a history of at least two episodes.
documentation Criteria
- Documented PHQ-9 score and symptom duration.
Applicable To
- Recurrent depressive disorder, moderate
Excludes
- Single episode of major depressive disorder (F32.-)
Clinical Validation Requirements
- PHQ-9 score between 10-14
- Presence of 4-6 depressive symptoms
- Symptoms persisting for at least two weeks
Code-Specific Risks
- Misclassification as single episode
- Inadequate documentation of symptom severity
Coding Notes
- Ensure documentation includes episode count, symptom severity, and functional impact.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Family disruption
Z63.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Major Depression Recurrent Moderate to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.1.
Impact
Clinical: Inaccurate treatment planning, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Review patient history for episode count, Include episode count in documentation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records and statistics.
Mitigation Strategy
Verify episode history to ensure correct classification as recurrent.
Impact
Lack of detailed episode documentation increases audit risk.
Mitigation Strategy
Ensure comprehensive documentation of all depressive episodes.
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 Major Depression Recurrent Moderate, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depression Recurrent Moderate
Use these documentation templates to ensure complete and accurate documentation for Major Depression Recurrent Moderate. These templates include all required elements for proper coding and billing.
Patient with recurrent moderate depression
Specialty: PsychiatryRequired Elements
- Episode count
- Symptom severity
- PHQ-9 score
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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