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.
Inclusion 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
Other codes that can never be billed with F32.3
These codes carry an Excludes1 note pointing at F32.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F32.3 alone.
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.
Medicare coverage
F32.3 is named in 37 Medicare coverage policies — 36 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
How F32.3 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F32.3.
- 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
Related codes at this level
Codes that share F32. If F32.3 is not quite right, the correct code is usually one of these.
- 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
Questions about F32.3
- Is F32.3 a billable ICD-10-CM code?
- Yes. F32.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F32.3 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mood [affective] disorders (F30-F39).