F32.3: Major depressive disorder, single episode, severe with psychotic features
F32.3 is a billable, specific ICD-10-CM code for major depressive disorder, single episode, severe with psychotic features. It is valid for submission on a claim.
Check F32.3 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Single episode of major depression with mood-congruent psychotic symptoms
- Single episode of major depression with mood-incongruent psychotic symptoms
- Single episode of major depression with psychotic symptoms
- Single episode of psychogenic depressive psychosis
- Single episode of psychotic depression
- Single episode of reactive depressive psychosis
Excludes1 inherited from the categories above F32.3
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above F32.3
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with F32.3
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
F32.3 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 152 Psychosis, Except Schizophrenia0.484 RAF
- HCC 152 Psychosis, Except Schizophrenia0.484 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
F32.3 is named in 26 Medicare coverage policies: 25 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Depression›psychotic(single episode)
- Melancholia›reactive(emotional stress or trauma)
- Depression›major›with psychotic symptoms
- Depression›reactive›psychotic(single episode)
- Psychosis, psychotic›psychogenic›depressive
- Psychosis, psychotic›reactive›depressive
- Reaction›depressive›psychotic
- Disorder›depressive›major›with psychotic symptoms
- Episode›depressive›major›severe›with psychotic symptoms
- Disorder›depressive›major›single episode›severe›with psychotic symptoms
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under F32
- F32.0Major depressive disorder, single episode, mild
- F32.1Major depressive disorder, single episode, moderate
- F32.2Major depressive disorder, single episode, severe without psychotic features
- F32.4Major depressive disorder, single episode, in partial remission
- F32.5Major depressive disorder, single episode, in full remission
- F32.8Other depressive episodes
- F32.9Major depressive disorder, single episode, unspecified
- F32.ADepression, unspecified