ICD-10 Coding for Recurrent Depressive Disorder(F33.1, F33.2)
Complete ICD-10-CM coding and documentation guide for Recurrent Depressive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Recurrent Depressive Disorder
F33Primary Range
Major depressive disorder, recurrent
This range covers all recurrent episodes of major depressive disorder, specifying severity and remission status.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F33.1 | Major depressive disorder, recurrent, moderate | Use when the patient has a recurrent episode of moderate major depressive disorder. |
|
| F33.2 | Major depressive disorder, recurrent severe without psychotic features | Use when the patient has a recurrent episode of severe major depressive disorder without psychosis. |
|
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 recurrent depressive disorder
Essential facts and insights about Recurrent Depressive Disorder
Primary ICD-10-CM Codes for recurrent depressive disorder
Decision Criteria
clinical Criteria
- PHQ-9 score between 10-14 with recurrent episodes
Applicable To
- Recurrent major depression, moderate severity
Excludes
- Bipolar disorder (F31.-)
Clinical Validation Requirements
- PHQ-9 score between 10-14
- Symptoms persisting for at least two weeks
Code-Specific Risks
- Misclassification if severity is not documented
Coding Notes
- Ensure documentation specifies 'recurrent' and 'moderate' to avoid unspecified coding.
F33.2 - Major depressive disorder, recurrent severe without psychotic features
Use when the patient has a recurrent episode of severe major depressive disorder without psychosis.
Applicable To
- Recurrent major depression, severe without psychotic symptoms
Excludes
- Major depressive disorder with psychotic features (F33.3)
Clinical Validation Requirements
- PHQ-9 score 15-19
- Severe functional impairment
Coding Notes
Document severity and absence of psychosis clearly.
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 Recurrent Depressive Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.1.
Impact
Clinical: Leads to inadequate treatment planning., Regulatory: Non-compliance with ICD-10 coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use structured templates for documentation., Regular training on ICD-10 coding requirements.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of patient records.
Mitigation Strategy
Always specify severity and remission status to use the most accurate code.
Impact
Failure to document severity can lead to incorrect coding.
Mitigation Strategy
Implement regular audits and training sessions.
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 Recurrent Depressive Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Recurrent Depressive Disorder
Use these documentation templates to ensure complete and accurate documentation for Recurrent Depressive Disorder. These templates include all required elements for proper coding and billing.
Recurrent MDD with anxiety
Specialty: PsychiatryRequired Elements
- Patient history
- PHQ-9 score
- Symptom duration
- Severity indicators
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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