ICD-10 Coding for Major Depressive Disorder Recurrent Moderate(F33.1)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder 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 Depressive Disorder Recurrent Moderate
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F33.1 specifically for recurrent moderate major depressive disorder.
Key Information: ICD-10 code for major depressive disorder recurrent moderate
Essential facts and insights about Major Depressive Disorder Recurrent Moderate
Primary ICD-10-CM Code for major depressive disorder recurrent moderate
Decision Criteria
clinical Criteria
- Patient has had at least two episodes of depression.
documentation Criteria
- PHQ-9 score is documented as 10-14.
Applicable To
- Recurrent episodes of moderate depression
Clinical Validation Requirements
- PHQ-9 score between 10-14
- Documentation of at least two episodes
- Moderate severity symptoms
Code-Specific Risks
- Incorrectly coding as F33.9 when specificity is available
- Failing to document episode history
Coding Notes
- Ensure documentation specifies 'recurrent' and 'moderate' to avoid unspecified coding.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified anxiety disorder
F41.9Differential 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 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 for denied claims.
Mitigation Strategy
Always include episode history in notes., Use templates to ensure completeness.
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Increased audit risk for unspecified coding., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Ensure documentation includes episode history and severity to use F33.1.
Impact
Using F33.9 instead of F33.1 when details are available.
Mitigation Strategy
Ensure documentation includes all necessary details for specific coding.
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 Moderate, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder Recurrent Moderate
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder Recurrent Moderate. These templates include all required elements for proper coding and billing.
Recurrent moderate depression in a psychiatric setting
Specialty: PsychiatryRequired Elements
- Patient demographics
- Episode history
- PHQ-9 score
- DSM-5 criteria met
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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