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ICD-10 Guide
ICD-10 CodesF06.32

F06.32

Billable

Mood disorder due to known physiological condition with major depressive-like episode

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F06.32 is a billable code used to indicate a diagnosis of mood disorder due to known physiological condition with major depressive-like episode.

Key Diagnostic Point:

F06.32 refers to a mood disorder that arises as a direct result of a known physiological condition, characterized by symptoms resembling a major depressive episode. This condition can be triggered by various medical issues, such as chronic illnesses, neurological disorders, or hormonal imbalances. Patients may exhibit significant mood disturbances, including persistent sadness, loss of interest in activities, changes in appetite, sleep disturbances, and feelings of worthlessness or guilt. The diagnosis requires a thorough evaluation to establish the link between the physiological condition and the mood disorder, ensuring that the depressive symptoms are not better explained by other mental health disorders. Clinicians must document the underlying physiological condition clearly, as this is essential for accurate coding and treatment planning. The presence of a major depressive-like episode necessitates a comprehensive treatment approach that may include pharmacotherapy, psychotherapy, and management of the underlying medical condition.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires clear documentation of the underlying physiological condition.
  • Differentiating between primary mood disorders and mood disorders due to physiological conditions.
  • Potential overlap with other mood disorder codes.
  • Need for comprehensive patient history to establish causality.

Audit Risk Factors

  • Insufficient documentation linking the mood disorder to the physiological condition.
  • Inconsistent coding of related conditions.
  • Failure to update codes based on changes in the patient's medical status.
  • Lack of comprehensive treatment plans in the medical record.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation and history, including the onset and duration of mood symptoms and their relationship to the physiological condition.

Common Clinical Scenarios

Patients with chronic illnesses such as diabetes or cancer presenting with depressive symptoms.

Billing Considerations

Consideration of medication side effects and their impact on mood.

Neurology

Documentation Requirements

Neurological assessments and imaging studies to identify underlying conditions contributing to mood changes.

Common Clinical Scenarios

Patients with neurological disorders like multiple sclerosis or stroke experiencing mood disturbances.

Billing Considerations

Documentation of neurological findings that correlate with mood symptoms.

Coding Guidelines

Inclusion Criteria

Use F06.32 When
  • According to ICD
  • 10 coding guidelines, F06
  • 32 should be used when a mood disorder is directly attributable to a known physiological condition
  • Coders must ensure that the physiological condition is documented and that the mood disorder symptoms are clearly outlined

Exclusion Criteria

Do NOT use F06.32 When
  • Exclusion criteria include mood disorders that are not linked to physiological conditions

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits where mood disorder management is discussed.

Documentation Requirements

Document the patient's mood symptoms, treatment plan, and any changes in the physiological condition.

Specialty Considerations

Psychiatrists should include mental status examinations in their documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more precise coding of mood disorders related to physiological conditions, enhancing the ability to track and manage these complex cases. It emphasizes the need for thorough documentation and understanding of the interplay between physical and mental health.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more precise coding of mood disorders related to physiological conditions, enhancing the ability to track and manage these complex cases. It emphasizes the need for thorough documentation and understanding of the interplay between physical and mental health.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more precise coding of mood disorders related to physiological conditions, enhancing the ability to track and manage these complex cases. It emphasizes the need for thorough documentation and understanding of the interplay between physical and mental health.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between F06.32 and F32?

F06.32 is specifically for mood disorders that are secondary to known physiological conditions, while F32 is for primary major depressive disorders that are not linked to any physiological causes.