Severe depressive episode without psychotic symptoms

Deborah C. Escalante

You have depression.

Depression is a mental illness. A number of different physical and mental causes have so far been found for depression. These causes may include a lack of certain hormones in the brain or stressful life events.

When you have depression, your mood is often very low over a long period of time. People with depression feel very low, for example, and cannot enjoy things as they used to. They may also feel listless or exhausted and find everyday activities harder than before. They can also lose interest in things they enjoyed before. They may also be finding it harder to concentrate and they may have lost confidence in themselves. Depression can also cause physical symptoms. This means you can no longer sleep very well, for example, or that you have lost your appetite.

The more severe the depression, the more symptoms you have. You have severe depression. The person is then very ill. You are severely limited by your illness in everyday life.

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DRG 885 PSYCHOSES

PRINCIPAL DIAGNOSIS

F200Paranoid schizophrenia F201Disorganized schizophrenia F202Catatonic schizophrenia F203Undifferentiated schizophrenia F205Residual schizophrenia F2081Schizophreniform disorder F2089Other schizophrenia F209Schizophrenia, unspecified F22Delusional disorders F23Brief psychotic disorder F24Shared psychotic disorder F250Schizoaffective disorder, bipolar type F251Schizoaffective disorder, depressive type F258Other schizoaffective disorders F259Schizoaffective disorder, unspecified F28Other psychotic disorder not due to a substance or known physiological condition F29Unspecified psychosis not due to a substance or known physiological condition F3010Manic episode without psychotic symptoms, unspecified F3011Manic episode without psychotic symptoms, mild F3012Manic episode without psychotic symptoms, moderate F3013Manic episode, severe, without psychotic symptoms F302Manic episode, severe with psychotic symptoms F303Manic episode in partial remission F304Manic episode in full remission F308Other manic episodes F309Manic episode, unspecified F310Bipolar disorder, current episode hypomanic F3110Bipolar disorder, current episode manic without psychotic features, unspecified F3111Bipolar disorder, current episode manic without psychotic features, mild F3112Bipolar disorder, current episode manic without psychotic features, moderate F3113Bipolar disorder, current episode manic without psychotic features, severe F312Bipolar disorder, current episode manic severe with psychotic features F3130Bipolar disorder, current episode depressed, mild or moderate severity, unspecified F3131Bipolar disorder, current episode depressed, mild F3132Bipolar disorder, current episode depressed, moderate F314Bipolar disorder, current episode depressed, severe, without psychotic features F315Bipolar disorder, current episode depressed, severe, with psychotic features F3160Bipolar disorder, current episode mixed, unspecified F3161Bipolar disorder, current episode mixed, mild F3162Bipolar disorder, current episode mixed, moderate F3163Bipolar disorder, current episode mixed, severe, without psychotic features F3164Bipolar disorder, current episode mixed, severe, with psychotic features F3170Bipolar disorder, currently in remission, most recent episode unspecified F3171Bipolar disorder, in partial remission, most recent episode hypomanic F3172Bipolar disorder, in full remission, most recent episode hypomanic F3173Bipolar disorder, in partial remission, most recent episode manic F3174Bipolar disorder, in full remission, most recent episode manic F3175Bipolar disorder, in partial remission, most recent episode depressed F3176Bipolar disorder, in full remission, most recent episode depressed F3177Bipolar disorder, in partial remission, most recent episode mixed F3178Bipolar disorder, in full remission, most recent episode mixed F3181Bipolar II disorder F3189Other bipolar disorder F319Bipolar disorder, unspecified F320Major depressive disorder, single episode, mild F321Major depressive disorder, single episode, moderate F322Major depressive disorder, single episode, severe without psychotic features F323Major depressive disorder, single episode, severe with psychotic features F324Major depressive disorder, single episode, in partial remission F325Major depressive disorder, single episode, in full remission F3281Premenstrual dysphoric disorder F3289Other specified depressive episodes F330Major depressive disorder, recurrent, mild F331Major depressive disorder, recurrent, moderate F332Major depressive disorder, recurrent severe without psychotic features F333Major depressive disorder, recurrent, severe with psychotic symptoms F3340Major depressive disorder, recurrent, in remission, unspecified F3341Major depressive disorder, recurrent, in partial remission F3342Major depressive disorder, recurrent, in full remission F338Other recurrent depressive disorders F339Major depressive disorder, recurrent, unspecified F3481Disruptive mood dysregulation disorder F3489Other specified persistent mood disorders F349Persistent mood [affective] disorder, unspecified F39Unspecified mood [affective] disorder F531Puerperal psychosis F845Asperger’s syndrome F848Other pervasive developmental disorders F849Pervasive developmental disorder, unspecified 2023 ICD-10-CM Diagnosis Code

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F32.2

Major depressive disorder, single episode, severe without psychotic features

    2016

    2017

    2018

    2019

    2020

    2021

    2022

    2023

    Billable/Specific Code

  • F32.2

    is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

  • Short description: Major depressv disord, single epsd, sev w/o psych features
  • The 2023 edition of ICD-10-CM

    F32.2

    became effective on October 1, 2022.

  • This is the American ICD-10-CM version of

    F32.2

    – other international versions of ICD-10

    F32.2

    may differ.

F32.2

contain annotation back-references

Annotation Back-References

  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations

In this context, annotation back-references refer to codes that contain:

F32.2

:

  • F01-F99

    2023 ICD-10-CM Range

    F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes

    • disorders of psychological development

    Type 2 Excludes

    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

  • F32

    ICD-10-CM Diagnosis Code

    F32

    Depressive episode

      2016

      2017

      2018

      2019

      2020

      2021

      2022 – Revised Code

      2023

      Non-Billable/Non-Specific Code

    Includes

    • single episode of agitated depression
    • single episode of depressive reaction
    • single episode of major depression
    • single episode of psychogenic depression
    • single episode of reactive depression
    • single episode of vital depression

    Type 1 Excludes

    • bipolar disorder (F31.-)
    • manic episode (F30.-)
    • recurrent depressive disorder (F33.-)

    Type 2 Excludes

    • adjustment disorder (F43.2)

The following code(s) abovecontain annotation back-referencesthat may be applicable to

Approximate Synonyms

  • Depression, major, single episode, severe
  • Major depression, single episode, severe
  • Major depressive disorder, single episode, severe w anxious stress
  • Major depressive disorder, single episode, severe w catatonia
  • Major depressive disorder, single episode, severe w mixed features
  • Major depressive disorder, single episode, severe w peripartum onset
  • Severe major depression, single episode
  • Severe major depressive disorder co-occurrent with anxiety, single episode
  • Severe major depressive disorder co-occurrent with catatonia, single episode
  • Severe major depressive disorder, peripartum onset, single episode
  • Severe mixed major depressive disorder, single episode

ICD-10-CM

F32.2

is grouped within Diagnostic Related Group(s) (MS-DRG

v

40.0):

  • 885 Psychoses

Convert F32.2 to ICD-9-CM

Code History

  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
  • Depression (acute) (mental) F32.A

    ICD-10-CM Diagnosis Code

    F32.A

    Depression, unspecified

      2022 – New Code

      2023

      Billable/Specific Code

    Applicable To

    • Depression NOS
    • Depressive disorder NOS
    • vital (recurrent) (without psychotic symptoms) F33.2

      ICD-10-CM Diagnosis Code

      F33.2

      Major depressive disorder, recurrent severe without psychotic features

        2016

        2017

        2018

        2019

        2020

        2021

        2022

        2023

        Billable/Specific Code

      • F32.2

        single episode

    • F32.2

      (single episode) agitated(single episode)

    • F32.2

      severe, single episode

  • Disorder (of) – see also Disease
    • depressive F32.A

      ICD-10-CM Diagnosis Code

      F32.A

      Depression, unspecified

        2022 – New Code

        2023

        Billable/Specific Code

      Applicable To

      • Depression NOS
      • Depressive disorder NOS
      • major F32.9

        ICD-10-CM Diagnosis Code

        F32.9

        Major depressive disorder, single episode, unspecified

          2016

          2017

          2018

          2019

          2020

          2021

          2022

          2023

          Billable/Specific Code

        Applicable To

        • Major depression NOS
        • single episode F32.9

          ICD-10-CM Diagnosis Code

          F32.9

          Major depressive disorder, single episode, unspecified

            2016

            2017

            2018

            2019

            2020

            2021

            2022

            2023

            Billable/Specific Code

          Applicable To

          • Major depression NOS
          • F32.2

            severe (without psychotic symptoms)

  • Episode
    • depressive F32.A

      ICD-10-CM Diagnosis Code

      F32.A

      Depression, unspecified

        2022 – New Code

        2023

        Billable/Specific Code

      Applicable To

      • Depression NOS
      • Depressive disorder NOS
      • major F32.9

        ICD-10-CM Diagnosis Code

        F32.9

        Major depressive disorder, single episode, unspecified

          2016

          2017

          2018

          2019

          2020

          2021

          2022

          2023

          Billable/Specific Code

        Applicable To

        • Major depression NOS
        • F32.2

          severe (without psychotic symptoms)

  • Menopause, menopausal (asymptomatic) (state) Z78.0

    ICD-10-CM Diagnosis Code

    Z78.0

    Asymptomatic menopausal state

      2016

      2017

      2018

      2019

      2020

      2021

      2022

      2023

      Billable/Specific Code

      Adult Dx (15-124 years)

      Female Dx

      POA Exempt

    Applicable To

    • Menopausal state NOS
    • Postmenopausal status NOS

    Type 2 Excludes

    • symptomatic menopausal state (N95.1)
    • depression (single episode) F32.89

      ICD-10-CM Diagnosis Code

      F32.89

      Other specified depressive episodes

        2017 – New Code

        2018

        2019

        2020

        2021

        2022

        2023

        Billable/Specific Code

      Applicable To

      • Atypical depression
      • Post-schizophrenic depression
      • Single episode of ‘masked’ depression NOS
      • F32.2

        agitated (single episode)

ICD-10-CM Codes Adjacent To

F32.2

F31.76 Bipolar disorder, in full remission, most recent episode depressed F31.77 Bipolar disorder, in partial remission, most recent episode mixed F31.78 Bipolar disorder, in full remission, most recent episode mixed F31.8 Other bipolar disorders F31.81 Bipolar II disorder F31.89 Other bipolar disorder F31.9 Bipolar disorder, unspecified F32 Depressive episode F32.0 Major depressive disorder, single episode, mild F32.1 Major depressive disorder, single episode, moderate

F32.2

Major depressive disorder, single episode, severe without psychotic features

F32.3 Major depressive disorder, single episode, severe with psychotic features F32.4 Major depressive disorder, single episode, in partial remission F32.5 Major depressive disorder, single episode, in full remission F32.8 Other depressive episodes F32.81 Premenstrual dysphoric disorder F32.89 Other specified depressive episodes F32.9 Major depressive disorder, single episode, unspecified F32.A Depression, unspecified F33 Major depressive disorder, recurrent F33.0 Major depressive disorder, recurrent, mild

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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