ICD-10 Coding for Major Depressive Disorder, Single Episode, Moderate(F32.1)
Complete ICD-10-CM coding and documentation guide for Major Depressive Disorder, Single Episode, Moderate. 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, Single Episode, Moderate
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F32.1 specifically for moderate single episode major depressive disorder.
Key Information: ICD-10 code for major depressive disorder single episode moderate
Essential facts and insights about Major Depressive Disorder, Single Episode, Moderate
Primary ICD-10-CM Code for major depressive disorder single episode moderate
Decision Criteria
clinical Criteria
- Presence of 4-6 depressive symptoms for at least 2 weeks.
documentation Criteria
- Documentation must specify 'single episode' and 'moderate severity'.
Applicable To
- Moderate depressive episode
Clinical Validation Requirements
- PHQ-9 score between 10-14
- Presence of 4-6 depressive symptoms for at least 2 weeks
Code-Specific Risks
- Undercoding if severity is not documented
- Misclassification if episode type is not specified
Coding Notes
- Ensure documentation specifies 'single episode' and 'moderate' to avoid queries.
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, Single Episode, Moderate to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F32.1.
Impact
Clinical: Inaccurate assessment of depression severity., Regulatory: Potential for coding audits and queries., Financial: Risk of claim denials due to unspecified coding.
Mitigation Strategy
Use standardized assessment tools like PHQ-9., Train staff on documentation requirements.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Poor data quality affecting patient records.
Mitigation Strategy
Ensure documentation includes specific severity and episode type to use F32.1.
Impact
Inadequate documentation of symptom severity and impact.
Mitigation Strategy
Implement regular training and use of standardized templates.
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, Single Episode, Moderate, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Major Depressive Disorder, Single Episode, Moderate
Use these documentation templates to ensure complete and accurate documentation for Major Depressive Disorder, Single Episode, Moderate. These templates include all required elements for proper coding and billing.
Initial diagnosis of moderate depression
Specialty: PsychiatryRequired Elements
- Symptom list
- PHQ-9 score
- Functional impairment
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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