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F32.9
ICD-10-CM
Major Depressive Episode

Find information on Major Depressive Episode diagnosis, including clinical documentation requirements, ICD-10-CM code F32.9 (or F32 other specified codes), DSM-5 criteria, differential diagnosis, and treatment considerations. This resource helps healthcare professionals accurately document and code Major Depressive Episode for optimal patient care and reimbursement. Learn about symptom assessment, severity specifiers, and best practices for mental health coding and documentation.

Also known as

MDE
Depressive Episode

Diagnosis Snapshot

Key Facts
  • Definition : A period of at least two weeks marked by depressed mood or loss of interest, along with other symptoms like fatigue, sleep changes, and appetite disturbances.
  • Clinical Signs : Sadness, loss of pleasure, fatigue, sleep disturbances, appetite changes, difficulty concentrating, feelings of worthlessness or guilt, suicidal thoughts.
  • Common Settings : Primary care, outpatient clinics, mental health facilities, telehealth platforms, community support groups.

Related ICD-10 Code Ranges

Complete code families applicable to AAPC F32.9 Coding
F32-F33

Depressive Episodes

Covers various types of depressive episodes, including major depressive disorder.

F30-F39

Mood Affective Disorders

Encompasses a wider range of mood disorders, including depression and bipolar.

F40-F48

Neurotic Stress-Related Disorders

Includes conditions like anxiety and adjustment disorders that can co-occur with depression.

Code-Specific Guidance

Decision Tree for

Follow this step-by-step guide to choose the correct ICD-10 code.

Meets criteria for Major Depressive Episode?

  • No

    Do not code as Major Depressive Episode. Consider other diagnoses.

  • Yes

    Single or Recurrent Episode?

Documentation Best Practices

Documentation Checklist
  • Depressed mood or anhedonia documented
  • Five or more SIGECAPS symptoms present
  • Symptoms present for at least two weeks
  • Clinically significant distress or impairment
  • Symptoms not due to substance or medical condition

Coding and Audit Risks

Common Risks
  • Unspecified Severity

    Coding MDE without specifying severity (mild, moderate, severe) leads to inaccurate risk adjustment and reimbursement.

  • Missing Symptom Documentation

    Insufficient clinical documentation of required depressive symptoms can cause coding errors and denials. CDI review essential.

  • Comorbidity Coding Errors

    Incorrect coding of co-existing anxiety or substance use disorders with MDE impacts quality reporting and payment.

Mitigation Tips

Best Practices
  • Document DSM-5 criteria, ICD-10 F32.x for MDE diagnosis coding compliance.
  • Assess symptom duration, severity using PHQ-9 for improved CDI, risk adjustment.
  • Screen for comorbidities like anxiety, substance use for accurate coding, care planning.
  • Track response to treatment, document changes for improved MDE outcomes tracking.
  • Ensure clear, concise documentation for medical necessity, healthcare compliance audits.

Clinical Decision Support

Checklist
  • Depressed mood or anhedonia documented?
  • 5+ SIGECAPS symptoms present >=2 weeks?
  • Rule out medical causes of symptoms.
  • Assess severity and suicide risk.
  • Document DSM-5 criteria for MDE diagnosis.

Reimbursement and Quality Metrics

Impact Summary
  • Major Depressive Episode: Reimbursement and Quality Metrics Impact Summary
  • ICD-10-CM F32.*, F33.*: Coding accuracy impacts reimbursement & reporting.
  • Accurate diagnosis coding improves hospital quality metrics for depression care.
  • Proper documentation supports higher reimbursement for MDE treatment & management.
  • Patient outcomes & hospital value-based care tied to accurate MDE coding & billing.

Streamline Your Medical Coding

Let S10.AI help you select the most accurate ICD-10 codes for . Our AI-powered assistant ensures compliance and reduces coding errors.

Quick Tips

Practical Coding Tips
  • Document SIGECAPS
  • Code F32.x severity
  • Rule out medical causes
  • Assess functional impact
  • Consider specifiers

Documentation Templates

Patient presents with symptoms consistent with a Major Depressive Episode (MDE), fulfilling DSM-5 diagnostic criteria.  The patient reports depressed mood, anhedonia characterized by markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day for the past two weeks.  Additional symptoms include significant weight loss without dieting or weight gain, insomnia or hypersomnia, psychomotor agitation or retardation nearly every day, fatigue or loss of energy, feelings of worthlessness or excessive or inappropriate guilt, diminished ability to think or concentrate, or indecisiveness, and recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.  These symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.  Symptoms are not attributable to the physiological effects of a substance or another medical condition.  There is no history of a manic or hypomanic episode.  Differential diagnosis includes bereavement, adjustment disorder with depressed mood, and medical conditions that can mimic depressive symptoms.  Assessment includes a thorough review of medical history, including family history of mood disorders, substance use history, and current medications.  The patient's current presentation suggests moderate severity.  Treatment plan includes initiation of psychotherapy, specifically Cognitive Behavioral Therapy (CBT), and consideration of pharmacotherapy with a selective serotonin reuptake inhibitor (SSRI).  Patient education regarding the nature of depression, treatment options, and potential side effects of medication was provided.  Follow-up appointment scheduled in two weeks to assess treatment response and adjust plan as needed.  Medical billing codes will reflect the diagnosis of Major Depressive Episode, single or recurrent episode, and the specific therapeutic interventions provided.  Keywords: major depressive disorder, depression symptoms, mental health, clinical diagnosis, DSM-5 criteria, MDE, CBT, SSRI, antidepressant medication, psychotherapy, mental health treatment, medical coding, ICD-10, electronic health records, EHR documentation, medical billing, healthcare, patient care, diagnostic criteria, treatment plan.