Major depressive disorder, single episode, mild
ICD-10 F32.0 is a billable code used to indicate a diagnosis of major depressive disorder, single episode, mild.
Major depressive disorder (MDD) is characterized by a persistent feeling of sadness or a lack of interest in previously enjoyed activities. The diagnosis of a single episode of mild MDD indicates that the individual experiences symptoms that are less severe than those associated with moderate or severe depression. Symptoms may include low mood, fatigue, changes in sleep patterns, and difficulty concentrating, but they do not significantly impair daily functioning. The DSM-5 criteria for MDD require the presence of at least five symptoms during the same two-week period, with at least one symptom being either depressed mood or loss of interest or pleasure. In mild cases, the individual may still be able to maintain some level of functioning, although they may struggle with motivation and energy. Treatment often involves psychotherapy, lifestyle changes, and, in some cases, pharmacotherapy with antidepressants. It is crucial to assess the risk of suicide in patients with MDD, as even mild cases can lead to significant distress and potential self-harm.
Comprehensive mental status examination, detailed history of present illness, and assessment of suicide risk.
Initial evaluation of a patient presenting with depressive symptoms, follow-up visits for medication management.
Ensure thorough documentation of symptomatology and functional impact to support the diagnosis.
Routine screening for depression, documentation of patient-reported outcomes, and follow-up care plans.
Routine check-ups where depression screening is performed, management of mild depression with lifestyle modifications.
Documenting the patient's functional status and any referrals to mental health specialists.
Used for outpatient therapy sessions for patients diagnosed with mild depression.
Document the duration of the session, treatment goals, and patient progress.
Psychiatrists and psychologists should ensure that the therapy aligns with the diagnosis.
Key symptoms include low mood, fatigue, changes in sleep patterns, and difficulty concentrating, but these symptoms do not significantly impair daily functioning.
