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ICD-10 Coding for Major Depressive Disorder, Recurrent, Unspecified(F33.9)

Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Recurrent, Unspecified. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Recurrent Depression, UnspecifiedMDD Recurrent Unspecified

Related ICD-10 Code Ranges

Complete code families applicable to Major Depressive Disorder, Recurrent, Unspecified

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 major depressive disorder recurrent unspecified

Essential facts and insights about Major Depressive Disorder, Recurrent, Unspecified

The ICD-10 code for major depressive disorder, recurrent, unspecified is F33.9. It is used when the severity and remission status are not specified.

Primary ICD-10-CM Code for major depressive disorder recurrent unspecified

Major depressive disorder, recurrent, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Recurrent depressive episodes without specified severity

documentation Criteria

  • Lack of documentation on severity or remission status

Applicable To

  • Recurrent major depression without specified severity

Excludes

  • Bipolar disorder (F31.-)
  • Single episode major depressive disorder (F32.-)

Clinical Validation Requirements

  • PHQ-9 score indicating depressive symptoms
  • Documentation of recurrent episodes
  • Exclusion of bipolar disorder

Code-Specific Risks

  • Risk of under-coding if severity is documented but not coded

Coding Notes

  • Ensure documentation specifies recurrent nature even if severity is unspecified.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Disruption of family by separation or divorce

Z63.5
Use when family disruption is a contributing factor to the depressive disorder.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Major depressive disorder, recurrent, moderate

F33.1
Use F33.1 if the severity is documented as moderate.

Major depressive disorder, recurrent, severe without psychotic features

F33.2
Use F33.2 if the severity is documented as severe without psychotic features.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Major Depressive Disorder, Recurrent, Unspecified to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F33.9.

Impact

Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.

Mitigation Strategy

Use PHQ-9 to assess severity., Ensure documentation reflects all clinical findings.

Impact

Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Inaccurate data on depression severity in patient records.

Mitigation Strategy

Query provider for severity specification and use appropriate code (e.g., F33.1 for moderate).

Impact

Increased scrutiny on use of unspecified codes without supporting documentation.

Mitigation Strategy

Document severity and remission status whenever possible.

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, Unspecified, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Major Depressive Disorder, Recurrent, Unspecified

Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Recurrent, Unspecified. These templates include all required elements for proper coding and billing.

Recurrent MDD without specified severity

Specialty: Psychiatry

Required Elements

  • Recurrent nature of episodes
  • PHQ-9 score
  • Exclusion of other disorders

Example Documentation

Patient presents with recurrent depressive episodes, PHQ-9 score 15, no severity specified.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient has depression.
Good Documentation Example
Patient diagnosed with recurrent major depressive disorder, severity unspecified, PHQ-9 score 15.
Explanation
The good example specifies the recurrent nature and includes a PHQ-9 score.

Need help with ICD-10 coding for Major Depressive Disorder, Recurrent, Unspecified? Ask your questions below.

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