Depressive episode
In Mood [affective] disorders (F30-F39), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
10 billable codes under F32: 4 are a CC; 3 map to HCC 155 (Major Depression, Moderate or Severe, without Psychosis), HCC 152 (Psychosis, Except Schizophrenia).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
Instructional notes
Includes: conditions that are coded here
- 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
Excludes1: not coded here, use a different code
Excludes2: not included here, code separately if applicable
- adjustment disorder (F43.2)
All codes under F32
F32 can't be used on a claim. Pick a billable code below; grey headings group them.
- F32.0Major depressive disorder, single episode, mild
- F32.1Major depressive disorder, single episode, moderate
- F32.2Major depressive disorder, single episode, severe without psychotic features
- F32.3Major depressive disorder, single episode, severe with psychotic features
- F32.4Major depressive disorder, single episode, in partial remission
- F32.5Major depressive disorder, single episode, in full remission
- F32.8Other depressive episodes
- F32.81Premenstrual dysphoric disorder
- F32.89Other specified depressive episodes
- F32.9Major depressive disorder, single episode, unspecified
- F32.ADepression, unspecified
MS-DRGs
As the principal diagnosis, the billable codes under F32 group to these MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 885 Psychoses (8 of 10 codes)
- DRG 881 Depressive Neuroses (2 of 10 codes)
Other codes that refer to F32
Notes on these codes point to F32.
- F30 Excludes1: major depressive disorder, single episode (F32.-)
- F31 Excludes1: major depressive disorder, single episode (F32.-)
- F42 Excludes2: obsessive-compulsive symptoms occurring in depression (F32.-, F33.-)
- F44.2 Excludes2: depressive stupor (F32, F33)
- F63.2 Excludes2: depressive disorder with stealing (F31.-, F32.-, F33.-)
- R40.1 Excludes1: depressive stupor (F31.-, F32.-, F33.-)
- R53.83 Excludes2: exhaustion and fatigue due to depressive episode (F32.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Depression
Depression is more than a feeling of being sad or irritable for a few days. It's a serious mood disorder. As one of the most common mental disorders in the United States, depression can affect how you think, feel, and your everyday life. You may not know why you feel this way, but even basic daily activities such as sleeping, eating, or working may become difficult. Depression often needs long-term treatment but getting help at the earliest sign of a problem can help manage your symptoms.
Read more about depression on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015.
- FY2022: Title changed. It was: Major depressive disorder, single episode.
