Major depressive disorder, recurrent, severe with psychotic symptoms
ICD-10 F33.3 is a billable code used to indicate a diagnosis of major depressive disorder, recurrent, severe with psychotic symptoms.
F33.3 refers to a severe form of major depressive disorder characterized by recurrent episodes that include psychotic symptoms such as hallucinations or delusions. This condition significantly impairs an individual's ability to function in daily life and often requires intensive treatment. Patients may experience profound sadness, loss of interest in previously enjoyed activities, changes in appetite or sleep patterns, and feelings of worthlessness or excessive guilt. The presence of psychotic features complicates the clinical picture, as these symptoms can lead to further distress and functional impairment. Treatment typically involves a combination of pharmacotherapy, including mood stabilizers and antidepressants, and psychotherapy. Given the severity of the disorder, there is a heightened risk of suicide, necessitating thorough risk assessments and safety planning. Accurate diagnosis and coding are crucial for appropriate treatment and reimbursement.
Detailed mental status examinations, treatment plans, and progress notes.
Patients presenting with severe depression and hallucinations or delusions.
Documentation must clearly outline the severity and impact of psychotic symptoms on functioning.
Comprehensive history, physical examination findings, and mental health assessments.
Patients with depressive symptoms referred for psychiatric evaluation.
Primary care providers should document any changes in mood, behavior, and functional status.
Used for patients with severe depression and psychotic symptoms requiring intensive therapy.
Document the duration of the session and the therapeutic interventions used.
Psychiatrists should note the complexity of the case in their notes.
Key symptoms include severe depressive episodes, psychotic features such as hallucinations or delusions, and significant impairment in daily functioning.
