Major depressive disorder, recurrent, moderate
ICD-10 F33.1 is a billable code used to indicate a diagnosis of major depressive disorder, recurrent, moderate.
Major depressive disorder (MDD) is characterized by recurrent episodes of depression that significantly impair an individual's ability to function. The recurrent nature of this disorder indicates that the patient has experienced multiple episodes of depression, with each episode lasting at least two weeks. The moderate classification suggests that the symptoms are more severe than mild depression but do not meet the criteria for severe depression. Symptoms may include persistent sadness, loss of interest in previously enjoyed activities, changes in appetite or weight, sleep disturbances, fatigue, feelings of worthlessness or excessive guilt, and difficulty concentrating. The diagnosis requires a thorough clinical assessment, including a detailed history of mood changes and functional impairment. Treatment often involves a combination of psychotherapy and pharmacotherapy, including mood stabilizers and antidepressants. Given the recurrent nature of the disorder, ongoing management and monitoring are essential to prevent relapse and address any potential suicide risk, which is notably higher in individuals with recurrent depression.
Comprehensive mental status examination, detailed history of mood episodes, and treatment response.
Patients presenting with recurrent depressive episodes, treatment-resistant depression, or comorbid anxiety disorders.
Ensure thorough documentation of all symptoms and treatment plans to support the diagnosis.
Routine screening for depression, documentation of patient history, and follow-up on treatment efficacy.
Patients with chronic illnesses experiencing depressive symptoms or those with a family history of mood disorders.
Primary care providers should be vigilant about recognizing signs of depression and documenting any referrals to mental health specialists.
Used for patients receiving therapy for recurrent depression.
Document the duration of the session and the therapeutic interventions used.
Psychiatrists should ensure that the treatment plan aligns with the diagnosis.
F33.1 specifically denotes recurrent episodes of moderate major depressive disorder, requiring documentation of the frequency and severity of episodes, which is not necessary for single episode codes.
