F33.3

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

Billable / specific codeICD-10-CM

F33.3 is a billable, specific ICD-10-CM code for major depressive disorder, recurrent, severe with psychotic symptoms. It is valid for submission on a claim.

Check F33.3 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Endogenous depression with psychotic symptoms
Major depressive disorder, recurrent, with psychotic features
Recurrent severe episodes of major depression with mood-congruent psychotic symptoms
Recurrent severe episodes of major depression with mood-incongruent psychotic symptoms
Recurrent severe episodes of major depression with psychotic symptoms
Recurrent severe episodes of psychogenic depressive psychosis
Recurrent severe episodes of psychotic depression
Recurrent severe episodes of reactive depressive psychosis

Excludes1 inherited from the categories above F33.3

A category’s note binds every code beneath it.

Written on F33: Major depressive disorder, recurrent

bipolar disorder (F31.-)
manic episode (F30.-)

Other codes that can never be billed with F33.3

Their own Excludes1 notes name this code, so the conflict is not listed above.

F20Schizophrenia
F22Delusional disorders
F30Manic episode
F31Bipolar disorder
F32Depressive episode
F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified
R40.1Stupor
R44Other symptoms and signs involving general sensations and perceptions

Risk adjustment

F33.3 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

F33.3 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›endogenous›with psychotic symptoms
Depression›psychotic›recurrent
Depression›vital›with psychotic symptoms
Psychosis, psychotic›reactive›depressive›recurrent
Disorder›depressive›major›recurrent›with psychotic features
Disorder›depressive›recurrent›current episode›severe›with psychotic symptoms