Major depressive disorder, single episode, in full remission
ICD-10 F32.5 is a billable code used to indicate a diagnosis of major depressive disorder, single episode, in full remission.
F32.5 refers to a major depressive disorder characterized by a single episode that has reached a state of full remission. This diagnosis indicates that the individual has previously experienced significant depressive symptoms, but currently, these symptoms have resolved completely. The criteria for major depressive disorder include a depressed mood or loss of interest or pleasure in daily activities, along with other symptoms such as changes in appetite, sleep disturbances, fatigue, feelings of worthlessness, and difficulty concentrating. In full remission, the individual no longer meets the criteria for a major depressive episode, which is essential for accurate coding. It is crucial to document the duration of remission and any ongoing treatment or monitoring, as this can impact the management of the patient's mental health and the coding process. Understanding the nuances of mood disorders, including the potential for recurrence and the importance of mood stabilizers in treatment, is vital for healthcare providers and coders alike. Additionally, assessing suicide risk remains a critical component of care for individuals with a history of major depressive disorder, even in remission.
Detailed notes on patient history, treatment plans, and assessment of mood symptoms.
Patients transitioning from active treatment to maintenance therapy, or those being monitored for recurrence.
Documentation should include any changes in medication, therapy sessions, and patient-reported outcomes.
Comprehensive records of mental health screenings and referrals to mental health specialists.
Routine follow-ups for patients with a history of depression, assessing overall mental health and medication adherence.
Primary care providers should ensure they document any signs of recurrence or new symptoms.
Used during follow-up visits for patients in remission to monitor mental health.
Document the duration of the session and the focus of therapy.
Psychiatrists should note any changes in treatment plans.
In full remission means that the patient has not experienced any depressive symptoms for a specified period, typically at least two months, and no longer meets the criteria for a major depressive episode.
