Find information on Major Depressive Disorder Recurrent, including clinical documentation requirements, ICD-10-CM code F33.x, diagnostic criteria, and treatment guidelines. This resource provides support for healthcare professionals in accurately diagnosing and coding recurrent major depression, covering symptom assessment, differential diagnosis, and best practices for patient care. Learn about severity specifiers, remission status, and evidence-based interventions for managing recurring depressive episodes.
Also known as
Major depressive disorder, recurrent
Covers various recurrent major depressive episodes.
Major depressive disorder, single episode
Relates to single episodes, helpful for distinguishing from recurrent.
Mixed anxiety and depressive disorder
Relevant if anxiety is also a significant component.
Problems related to life-management difficulty
May be relevant for coding psychosocial stressors contributing to depression.
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the diagnosis Major Depressive Disorder?
Yes
Is it a recurrent episode?
No
Do not code as F33. Review diagnostic criteria.
When to use each related code
| Description |
|---|
| Major depression, multiple episodes |
| Single Major Depressive Episode |
| Persistent Depressive Disorder (Dysthymia) |
Coding MDD recurrent requires specifying if current episode is single or recurrent, impacting severity and reimbursement.
Insufficient documentation to support MDD recurrent diagnosis can lead to coding errors and compliance issues.
Failing to code coexisting anxiety or other conditions with MDD can impact quality reporting and resource allocation.
Patient presents with recurrent major depressive disorder, fulfilling DSM-5 diagnostic criteria for a major depressive episode. Symptoms include persistent depressed mood, anhedonia, significant weight loss unintentional, insomnia, fatigue, feelings of worthlessness, diminished concentration, and recurrent thoughts of death, though no active suicidal ideation or plan was reported during this session. The patient reports this is their third major depressive episode, with the first occurring approximately five years ago and the second two years ago. Previous episodes were treated with psychotherapy and antidepressant medication, with partial remission achieved. Current symptoms have been present for the past six weeks and are impacting the patient's occupational and social functioning. Assessment includes review of symptoms, psychosocial stressors, and medical history. Differential diagnoses considered include bipolar disorder, adjustment disorder with depressed mood, and medical conditions that can mimic depression. Initial treatment plan includes initiation of sertraline 50mg daily, with titration as tolerated, and referral to psychotherapy for cognitive behavioral therapy (CBT). Patient education provided regarding medication side effects, management of depressive symptoms, and importance of medication adherence. Follow-up appointment scheduled in two weeks to assess treatment response and adjust medication as needed. Diagnosis codes: F33.2 (Major depressive disorder, recurrent episode, current episode moderate) and Z63.0 (Problems related to life management difficulty). Medical billing codes will reflect evaluation and management services provided, pharmacotherapy management, and mental health diagnostic interview. Keywords: major depressive disorder, recurrent depression, MDD, DSM-5 criteria, depression symptoms, anhedonia, insomnia, fatigue, worthlessness, suicidal ideation, antidepressant medication, sertraline, CBT, psychotherapy, mental health treatment, psychiatric evaluation, diagnostic codes, medical billing, ICD-10, CPT codes, EHR documentation, clinical notes.