ICD-10 Coding for Major Depressive Disorder Recurrent in Partial Remission(F33.41)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder Recurrent in Partial Remission. 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 Recurrent in Partial Remission
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F33.41 specifically for recurrent major depressive disorder in partial remission.
Key Information: ICD-10 code for major depressive disorder recurrent in partial remission
Essential facts and insights about Major Depressive Disorder Recurrent in Partial Remission
Primary ICD-10-CM Code for major depressive disorder recurrent in partial remission
Decision Criteria
clinical Criteria
- Presence of residual symptoms and PHQ-9 score indicating partial remission
documentation Criteria
- Detailed documentation of symptoms and treatment plan
Applicable To
- Recurrent major depressive disorder in partial remission
Excludes
- Major depressive disorder, recurrent, in full remission (F33.42)
Clinical Validation Requirements
- PHQ-9 score between 5-14
- Documentation of residual symptoms
- Interval since last major depressive episode
Code-Specific Risks
- Risk of under-documenting residual symptoms leading to incorrect coding
Coding Notes
- Ensure documentation specifies 'recurrent' and 'partial remission' with detailed symptoms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Major Depressive Disorder Recurrent in Partial Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.41.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use standardized templates for documentation., Regular training on documentation requirements.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of health data.
Mitigation Strategy
Ensure documentation supports the use of F33.41 by detailing symptoms and remission status.
Impact
Inadequate documentation of remission status can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of symptoms and remission status.
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 Recurrent in Partial Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder Recurrent in Partial Remission
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder Recurrent in Partial Remission. These templates include all required elements for proper coding and billing.
Psychiatry Progress Note
Specialty: PsychiatryRequired Elements
- Diagnosis
- Clinical Status
- Residual Symptoms
- PHQ-9 Score
- Treatment Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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