ICD-10 Coding for Major Depressive Disorder, Severe Recurrent(F33.2, F33.3)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Severe 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, Severe Recurrent
F32-F33Primary Range
Major depressive disorder, single and recurrent episodes
This range includes all codes related to major depressive disorder, both single and recurrent episodes, with varying severity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F33.2 | Major depressive disorder, recurrent severe without psychotic features | Use when the patient has recurrent severe depressive episodes without psychotic features. |
|
| F33.3 | Major depressive disorder, recurrent severe with psychotic symptoms | Use when the patient has recurrent severe depressive episodes with psychotic features. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for major depressive disorder severe recurrent
Essential facts and insights about Major Depressive Disorder, Severe Recurrent
Primary ICD-10-CM Codes for major depressive disorder severe recurrent
Decision Criteria
clinical Criteria
- PHQ-9 score ≥20 and significant functional impairment
Applicable To
- Severe recurrent major depressive disorder without psychotic features
Excludes
- Bipolar disorder (F31.-)
Clinical Validation Requirements
- PHQ-9 score ≥20
- Documented functional impairment
- History of at least two depressive episodes
Code-Specific Risks
- Misclassification of severity without proper documentation
Coding Notes
- Ensure documentation specifies 'recurrent' and 'severe' without psychotic features.
F33.3 - Major depressive disorder, recurrent severe with psychotic symptoms
Use when the patient has recurrent severe depressive episodes with psychotic features.
Applicable To
- Severe recurrent major depressive disorder with psychotic features
Excludes
- Schizoaffective disorder (F25.-)
Clinical Validation Requirements
- Presence of hallucinations or delusions
- PHQ-9 score ≥20
- Documented functional impairment
Coding Notes
Document psychotic features clearly to support coding.
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, Severe Recurrent to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.2.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Thorough psychiatric evaluation, Clear documentation of symptoms
Impact
Reimbursement: May lead to reduced reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of clinical data.
Mitigation Strategy
Always specify severity and psychotic features.
Impact
Inadequate documentation of severity can lead to audit issues.
Mitigation Strategy
Ensure all documentation includes severity indicators like PHQ-9 scores.
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, Severe Recurrent, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder, Severe Recurrent
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Severe Recurrent. These templates include all required elements for proper coding and billing.
Severe recurrent MDD without psychotic features
Specialty: PsychiatryRequired Elements
- PHQ-9 score
- Functional impairment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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