ICD-10 Coding for Major Depressive Disorder, Recurrent, Severe with Psychosis(F33.3)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Recurrent, Severe with Psychosis. 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, Severe with Psychosis
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F33.3 specifically for recurrent severe MDD with psychosis.
Key Information: ICD-10 code for major depressive disorder recurrent severe with psychosis
Essential facts and insights about Major Depressive Disorder, Recurrent, Severe with Psychosis
Primary ICD-10-CM Code for major depressive disorder recurrent severe with psychosis
Decision Criteria
clinical Criteria
- Presence of psychotic features such as hallucinations or delusions during depressive episodes.
documentation Criteria
- Clear documentation of recurrent episodes and psychotic symptoms.
Applicable To
- Recurrent major depression with psychotic symptoms
Clinical Validation Requirements
- Documentation of recurrent depressive episodes
- Presence of psychotic features such as delusions or hallucinations
- Severity assessment indicating marked functional impairment
Code-Specific Risks
- Misclassification if psychosis is not clearly documented
- Inaccurate coding if recurrence is not established
Coding Notes
- Ensure documentation clearly states the recurrence, severity, and presence of psychotic features.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Major Depressive Disorder, Recurrent, Severe with Psychosis to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.3.
Impact
Clinical: Inadequate treatment planning., Regulatory: Potential audit issues., Financial: Reduced reimbursement.
Mitigation Strategy
Ensure thorough psychiatric evaluation., Use standardized assessment tools.
Impact
Reimbursement: Incorrect coding may lead to lower reimbursement rates., Compliance: Non-compliance with coding standards., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Specify 'with psychotic features' in assessment to use F33.3.
Impact
Lack of detailed documentation on psychotic symptoms.
Mitigation Strategy
Use structured templates to ensure comprehensive documentation.
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, Severe with Psychosis, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder, Recurrent, Severe with Psychosis
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Recurrent, Severe with Psychosis. These templates include all required elements for proper coding and billing.
Recurrent MDD with psychosis in a psychiatric setting
Specialty: PsychiatryRequired Elements
- Diagnosis of recurrent major depressive disorder
- Severity and psychotic features
- Treatment plan including medication adjustments
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, Severe with Psychosis? Ask your questions below.