ICD-10 Coding for Major Depressive Disorder Recurrent with Psychotic Features(F33.3)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder Recurrent with Psychotic Features. 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 with Psychotic Features
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F33.3 specifically addressing recurrent depressive disorder with psychotic features.
Key Information: ICD-10 code for major depressive disorder recurrent with psychotic features
Essential facts and insights about Major Depressive Disorder Recurrent with Psychotic Features
Primary ICD-10-CM Code for major depressive disorder recurrent with psychotic features
Decision Criteria
clinical Criteria
- Presence of psychotic symptoms such as hallucinations or delusions
documentation Criteria
- Detailed documentation of psychotic features and severity
Applicable To
- Recurrent major depressive disorder with psychotic features
Clinical Validation Requirements
- PHQ-9 score ≥20
- Presence of mood-congruent or incongruent hallucinations or delusions
Code-Specific Risks
- Misclassification as F33.2 if psychotic features are not documented
Coding Notes
- Ensure documentation specifies recurrent, severe, and presence of psychotic features.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Disruption of family by separation/divorce
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 Depressive Disorder Recurrent with Psychotic Features to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.3.
Impact
Clinical: Misrepresentation of patient's condition, Regulatory: Potential for audit failure, Financial: Loss of appropriate reimbursement
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure psychotic features are documented and use F33.3.
Impact
Lack of detailed documentation on psychotic features can trigger audits.
Mitigation Strategy
Implement regular documentation audits and training.
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 with Psychotic Features, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder Recurrent with Psychotic Features
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder Recurrent with Psychotic Features. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for MDD with Psychosis
Specialty: PsychiatryRequired Elements
- Patient history
- Current symptoms
- Severity assessment
- Psychotic features
- Differential diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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