F33.3 — Major depressive disorder, recurrent, severe with psychotic symptoms
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.
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
Other codes that can never be billed with F33.3
These codes carry an Excludes1 note pointing at F33.3. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F33.3 alone.
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.
Medicare coverage
F33.3 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 F33.3 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 F33.3.
- 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
Related codes at this level
Codes that share F33. If F33.3 is not quite right, the correct code is usually one of these.
- F33.0Major depressive disorder, recurrent, mild
- F33.1Major depressive disorder, recurrent, moderate
- F33.2Major depressive disorder, recurrent severe without psychotic features
- F33.4Major depressive disorder, recurrent, in remission
- F33.8Other recurrent depressive disorders
- F33.9Major depressive disorder, recurrent, unspecified
Questions about F33.3
- Is F33.3 a billable ICD-10-CM code?
- Yes. F33.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F33.3 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mood [affective] disorders (F30-F39).