ICD-10 Coding for Depression in Remission(F32.5, F33.42)
Complete ICD-10-CM coding and documentation guide for Depression in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Depression in Remission
F32-F33Primary Range
Major Depressive Disorder, Single and Recurrent Episodes
This range includes codes for major depressive disorder, both single and recurrent episodes, including those in remission.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F32.5 | Major depressive disorder, single episode, in full remission | Use for patients with a single episode of major depressive disorder that is in full remission. |
|
| F33.42 | Major depressive disorder, recurrent, in full remission | Use for patients with recurrent major depressive disorder that is in full remission. |
|
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 depression in remission
Essential facts and insights about Depression in Remission
Primary ICD-10-CM Codes for depression in remission
Decision Criteria
clinical Criteria
- PHQ-9 score less than 5 and no symptoms for 2+ months
documentation Criteria
- Explicit documentation of remission status and duration
Applicable To
- Single episode of major depressive disorder in full remission
Excludes
- Recurrent major depressive disorder in remission (F33.42)
Clinical Validation Requirements
- PHQ-9 score less than 5
- No depressive symptoms for at least 2 months
Code-Specific Risks
- Misclassification if symptoms are present
- Incorrect use if duration of remission is not documented
Coding Notes
- Ensure documentation specifies 'in full remission' and includes PHQ-9 scores.
F33.42 - Major depressive disorder, recurrent, in full remission
Use for patients with recurrent major depressive disorder that is in full remission.
Applicable To
- Recurrent episodes of major depressive disorder in full remission
Excludes
- Single episode of major depressive disorder in remission (F32.5)
Clinical Validation Requirements
- PHQ-9 score less than 5
- Documented history of at least two prior episodes
Coding Notes
Ensure documentation includes history of multiple episodes and current remission status.
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 Depression in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F32.5.
Impact
Clinical: May lead to inappropriate treatment decisions, Regulatory: Non-compliance with coding standards, Financial: Potential for denied claims
Mitigation Strategy
Train staff on documentation standards, Use templates that prompt for remission details
Impact
Reimbursement: May result in lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Reduces accuracy of clinical data
Mitigation Strategy
Ensure documentation supports the use of specific remission codes like F32.5 or F33.42.
Impact
Audits may target use of F32.9 when specific remission codes are applicable.
Mitigation Strategy
Ensure documentation supports the use of specific codes like F32.5 or F33.42.
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 Depression in Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Depression in Remission
Use these documentation templates to ensure complete and accurate documentation for Depression in Remission. These templates include all required elements for proper coding and billing.
Follow-up for MDD in remission
Specialty: PsychiatryRequired Elements
- PHQ-9 score
- Duration of remission
- Functional status
- Current treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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