F32.2 — Major depressive disorder, single episode, severe without psychotic features

Risk adjustment

F32.2 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:

• HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF
• HCC 155 Major Depression, Moderate or Severe, without Psychosis0.299 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

F32.2 is named in 43 Medicare coverage policies — 42 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

• A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
• A56614Billing and Coding: Psychiatric Inpatient Hospitalization
• A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
• A56685Billing and Coding: Partial Hospitalization Programs