Major depressive disorder, single episode, moderate
ICD-10 F32.1 is a billable code used to indicate a diagnosis of major depressive disorder, single episode, moderate.
Major depressive disorder (MDD) is characterized by a persistent feeling of sadness or a lack of interest in previously enjoyed activities. A single episode of moderate MDD is diagnosed when an individual experiences a range of depressive symptoms that significantly impair daily functioning but do not meet the criteria for severe depression. Symptoms may include low energy, difficulty concentrating, changes in appetite or sleep patterns, feelings of worthlessness, and recurrent thoughts of death or suicide. The diagnosis is made based on clinical assessment, including a thorough patient history and standardized screening tools. Treatment typically involves psychotherapy, pharmacotherapy with antidepressants, and lifestyle modifications. Mood stabilizers may be considered if there is a co-occurring bipolar disorder. It is crucial to assess suicide risk in patients with moderate MDD, as they may exhibit suicidal ideation or behaviors, necessitating close monitoring and intervention.
Comprehensive psychiatric evaluation, including history of present illness, mental status examination, and risk assessment.
Initial evaluation of a patient presenting with depressive symptoms, follow-up visits to monitor treatment response.
Ensure thorough documentation of all symptoms and their impact on daily functioning.
Routine screening for depression using validated tools, documentation of treatment plans and referrals.
Patients presenting with fatigue, sleep disturbances, or changes in appetite; follow-up on antidepressant therapy.
Documenting the patient's psychosocial context and any referrals to mental health specialists.
Used during therapy sessions for patients diagnosed with moderate MDD.
Document the duration of the session and the therapeutic interventions used.
Psychiatrists may need to provide detailed notes on treatment progress.
Key symptoms include persistent low mood, loss of interest in activities, changes in appetite or sleep, fatigue, feelings of worthlessness, and suicidal thoughts. Documenting the duration and impact of these symptoms is crucial.
