ICD-10 Coding for Major Depressive Disorder, Moderate Recurrent(F33.1)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Moderate Recurrent. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Major Depressive Disorder, Moderate Recurrent
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 depressive disorder moderate recurrent
Essential facts and insights about Major Depressive Disorder, Moderate Recurrent
Primary ICD-10-CM Code for major depressive disorder moderate recurrent
Decision Criteria
clinical Criteria
- PHQ-9 score between 10-14 with documented recurrent episodes
documentation Criteria
- Detailed symptomatology and episode frequency
Applicable To
- Recurrent major depressive disorder with moderate severity
Clinical Validation Requirements
- PHQ-9 score between 10-14
- At least five symptoms from DSM-5 criteria
- Documented interval of at least two months between episodes
Code-Specific Risks
- Risk of using unspecified codes leading to reduced reimbursement
Coding Notes
- Ensure documentation specifies 'recurrent' and 'moderate' to avoid using unspecified codes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Depressive Disorder, Moderate Recurrent 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 assessment of depression severity, Regulatory: Non-compliance with documentation standards, Financial: Potential reimbursement issues
Mitigation Strategy
Standardize PHQ-9 documentation in templates, Regular training on documentation practices
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with coding standards, Data Quality: Reduces accuracy of clinical data
Mitigation Strategy
Ensure documentation specifies severity and recurrence to use F33.1
Impact
Failure to document severity can lead to audit flags
Mitigation Strategy
Implement regular documentation audits
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 Depressive Disorder, Moderate Recurrent, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder, Moderate Recurrent
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Moderate Recurrent. These templates include all required elements for proper coding and billing.
Psychiatric follow-up for recurrent depression
Specialty: PsychiatryRequired Elements
- History of present illness
- PHQ-9 results
- Symptom description
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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