Depressive episode
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F32 is a billable code used to indicate a diagnosis of depressive episode.
F32 refers to a depressive episode characterized by a persistent low mood, loss of interest or pleasure in activities, and a range of emotional and physical symptoms that can significantly impair daily functioning. The episode can vary in severity from mild to severe, with symptoms including feelings of sadness, hopelessness, fatigue, changes in appetite or sleep patterns, and difficulty concentrating. In some cases, individuals may experience suicidal thoughts or behaviors. The diagnosis is made based on clinical assessment, including patient history and symptom evaluation, and must meet specific criteria outlined in the DSM-5. Treatment often involves psychotherapy, medication such as antidepressants, and lifestyle modifications. It is crucial for healthcare providers to conduct a thorough suicide risk assessment, especially in severe cases, to ensure patient safety and appropriate intervention.
Detailed patient history, symptom assessment, treatment plan, and follow-up notes.
Initial evaluation of a patient presenting with depressive symptoms, ongoing management of treatment response.
Ensure comprehensive documentation of all symptoms and risk assessments to support diagnosis and treatment.
Routine screening results, patient-reported symptoms, and treatment plans.
Screening for depression during annual wellness visits, managing mild to moderate depressive symptoms.
Documentation should include screening tools used and follow-up plans for patients at risk.
Used for outpatient therapy sessions for patients diagnosed with F32.
Document the duration of the session, treatment goals, and patient progress.
Psychiatrists should ensure that therapy notes reflect the treatment plan and response to therapy.
Diagnosis requires the presence of at least five symptoms from a specified list, including depressed mood, loss of interest, changes in appetite or sleep, fatigue, feelings of worthlessness, and difficulty concentrating, lasting for at least two weeks.
