ICD-10 Coding for Moderate Recurrent Major Depression(F33.1)
Complete ICD-10-CM coding and documentation guide for Moderate Recurrent Major Depression. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Moderate Recurrent Major Depression
F33.0-F33.9Primary Range
Major Depressive Disorder, Recurrent
This range includes all recurrent major depressive disorders, specifying severity and remission status.
Key Information: ICD-10 code for moderate recurrent major depression
Essential facts and insights about Moderate Recurrent Major Depression
Primary ICD-10-CM Code for moderate recurrent major depression
Decision Criteria
clinical Criteria
- Patient has experienced two or more depressive episodes.
documentation Criteria
- PHQ-9 score is documented between 10-14.
Applicable To
- Moderate recurrent major depressive disorder
Clinical Validation Requirements
- Documentation of at least two prior depressive episodes
- PHQ-9 score between 10-14
- Absence of psychotic features
Code-Specific Risks
- Risk of under-documenting severity leading to incorrect coding
- Confusion with single episode codes
Coding Notes
- Ensure documentation specifies the recurrent nature and moderate severity to justify F33.1.
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 Moderate Recurrent Major Depression to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always include a PHQ-9 score in documentation., Specify the severity level in clinical notes.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with specificity requirements., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure specific details about episode type and severity are documented to use F33.1.
Impact
Using unspecified codes when specific details are available.
Mitigation Strategy
Ensure thorough documentation of episode history and severity.
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 Moderate Recurrent Major Depression, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Moderate Recurrent Major Depression
Use these documentation templates to ensure complete and accurate documentation for Moderate Recurrent Major Depression. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation
Specialty: PsychiatryRequired Elements
- Episode type
- Severity
- PHQ-9 score
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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