F33.3 – Major depressive disorder, recurrent, severe with psychotic symptoms

F33.3 diagnosis code: Major depressive disorder, recurrent, severe with psychotic symptoms

The F33.3 diagnosis code refers to major depressive disorder that is recurrent, meaning your client has had multiple episodes, not just a one-time experience. The "severe with psychotic symptoms" part means their depression is intense and includes features like delusions or hallucinations, which may not always be mood-congruent psychotic symptoms.

As a professional, you’ll want to closely monitor for safety risks and ensure coordinated care, as this level of severity often requires both medication and therapy.

Is F33.3 billable?

Yes, F33.3 is a billable code that can indicate a diagnosis of major depressive disorder, recurrent, severe, with psychotic symptoms for reimbursement purposes. The code is valid for submission on a claim form and accurately represents the patient's condition.

Clinical information

• It affects individuals of all ages, although it is more common in adults.
• The exact cause of major depressive disorder is unknown but involves a combination of genetic, biochemical, environmental, and psychological factors.
• Stressful life events may trigger a depressive episode, increasing the risk of developing recurrent episodes.
• Treatment involves a combination of psychotherapy, antidepressant medications, and antipsychotic medications to manage symptoms and prevent relapses.
• Early intervention and ongoing symptom monitoring are crucial for improving the patient’s quality of life, especially when the condition co-occurs with other behavioral disorders.

Synonyms include

• Recurrent severe depression with psychosis
• Recurrent severe episodes of psychotic depression
• Severe recurrent depressive disorder with psychotic features
• Recurrent major depression with psychotic symptoms
• Severe depressive episode with psychotic features, recurrent
• Psychotic major depressive disorder, recurrent

Other ICD-10 codes commonly used for major depressive disorder

• 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
• F32.9: Major depressive disorder, single episode, unspecified
• F33: Major depressive disorder, recurrent