ICD-10 Coding for Major Depressive Disorder with Psychotic Features(F32.3, F33.3)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder 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 with Psychotic Features
F32-F33Primary Range
Major depressive disorders
This range includes codes for major depressive disorders, including those with psychotic features.
Dissociative and conversion disorders
Used when conversion disorders are present alongside MDD with psychotic features.
Schizoaffective disorders
Differential diagnosis when mood episodes and psychosis occur independently.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F32.3 | Major depressive disorder, single episode, severe with psychotic features | Use when a single episode of severe depression with psychotic features is documented. |
|
| F33.3 | Major depressive disorder, recurrent, severe with psychotic features | Use for recurrent episodes of severe depression 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 with psychotic features
Essential facts and insights about Major Depressive Disorder with Psychotic Features
Primary ICD-10-CM Codes for major depressive disorder with psychotic features
Decision Criteria
clinical Criteria
- Presence of severe depressive symptoms with psychotic features
Applicable To
- Severe depression with hallucinations
- Severe depression with delusions
Clinical Validation Requirements
- PHQ-9 score ≥20
- Documented hallucinations or delusions
Code-Specific Risks
- Misclassification as unspecified depression
Coding Notes
- Ensure documentation specifies 'severe' and 'psychotic features'.
F33.3 - Major depressive disorder, recurrent, severe with psychotic features
Use for recurrent episodes of severe depression with psychotic features.
Applicable To
- Recurrent severe depression with hallucinations
- Recurrent severe depression with delusions
Excludes
- Bipolar disorder with psychotic features (F31.75)
- Schizoaffective disorder (F25.x)
Clinical Validation Requirements
- Multiple episodes of severe depression with psychotic features
Coding Notes
Ensure documentation specifies 'recurrent' and 'psychotic features'.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Suicidal ideation
R45.851Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Major Depressive Disorder with Psychotic Features to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F32.3.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Thorough mental status examination, Detailed symptom documentation
Impact
Reimbursement: Potential underpayment due to incorrect DRG assignment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Query provider to confirm presence of psychotic features and use F32.3 or F33.3.
Impact
Lack of specific documentation for psychotic features.
Mitigation Strategy
Implement standardized templates for psychiatric evaluations.
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 with Psychotic Features, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder with Psychotic Features
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder with Psychotic Features. These templates include all required elements for proper coding and billing.
Initial psychiatric evaluation for MDD with psychotic features
Specialty: PsychiatryRequired Elements
- Patient history
- Mental status examination
- Psychotic symptom description
- PHQ-9 score
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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