ICD-10 Coding for Major Depressive Disorder, Recurrent, in Full Remission(F33.42)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Recurrent, in Full Remission. 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, Recurrent, in Full Remission
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F33.42 specifically for recurrent major depressive disorder in full remission.
Key Information: ICD-10 code for major depressive disorder recurrent in full remission
Essential facts and insights about Major Depressive Disorder, Recurrent, in Full Remission
Primary ICD-10-CM Code for major depressive disorder recurrent in full remission
Decision Criteria
clinical Criteria
- Patient has been asymptomatic for at least two months.
documentation Criteria
- PHQ-9 score and remission duration are clearly documented.
Applicable To
- Recurrent major depressive episodes in full remission
Clinical Validation Requirements
- PHQ-9 score ≤4 for at least 2 months
- No significant depressive symptoms for ≥8 weeks
- Absence of psychotic features
Code-Specific Risks
- Misclassification if remission duration is not documented
- Incorrect use if symptoms are present
Coding Notes
- Ensure documentation specifies 'recurrent' and 'in full remission' with duration.
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, Recurrent, in Full Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.42.
Impact
Clinical: Inaccurate patient status representation., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use templates that prompt for remission duration, Regular training on documentation standards
Impact
Reimbursement: Lower reimbursement due to unspecified coding., Compliance: Increased audit risk for unspecified codes., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Ensure documentation specifies full remission to use F33.42.
Impact
Lack of specific remission details increases audit risk.
Mitigation Strategy
Ensure all remission details are documented clearly.
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, Recurrent, in Full Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder, Recurrent, in Full Remission
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Recurrent, in Full Remission. These templates include all required elements for proper coding and billing.
Routine follow-up for MDD in full remission
Specialty: Primary CareRequired Elements
- History of depressive episodes
- Current remission status
- PHQ-9 score
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Major Depressive Disorder, Recurrent, in Full Remission? Ask your questions below.