F32.3 – Major depressive disorder, single episode, severe with psychotic features

Is F32.3 billable? 

Yes, this ICD-10 code is billable.

Clinical information

The criteria for F32.3 Major depressive disorder, single episode, severe with psychotic features, include a period of at least two weeks in which the majority of days are characterized by a depressed mood and markedly diminished interest or pleasure in almost all activities and at least four additional symptoms from the list below must also be present:

• Significant weight loss
• Insomnia or hypersomnia
• Psychomotor agitation or retardation
• Fatigue/loss of energy
• Feelings of worthlessness, excessive guilt
• Difficulty concentrating or making decisions
• Recurrent thoughts of death and suicidal ideation

Treatment for psychotic depression, which is a subtype of major depressive disorder and psychotic disorder, vary depending on the severity of one's symptoms. It often includes a combination of medication and psychotherapy, such as cognitive behavioral therapy (CBT). Medication may include antidepressants to balance brain chemicals or help stabilize moods.

Synonyms include

• Psychotic depression, single episode
• Major depressive disorder with psychotic symptoms, single episode
• Depression major single severe with psychotic features
• Severe major depression, single episode, with psychotic features
• Single major depressive episode, severe, with psychosis

Other ICD-10 codes commonly used for major depressive disorder

These are several other codes commonly used for a major depressive disorder diagnosis:

• F32.5: Major depressive disorder, single episode, in full remission
• F32.9: Major depressive disorder, single episode, unspecified
• F33.0: Major depressive disorder, recurrent, mild
• F33.1: Major depressive disorder, recurrent, moderate
• F33.2: Major depressive disorder, recurrent severe without psychotic features
• F33.40: Major depressive disorder, recurrent, in remission, unspecified
• F33.9: Major depressive disorder, recurrent, unspecified