Major depressive disorder, recurrent, in remission
ICD-10 F33.4 is a billable code used to indicate a diagnosis of major depressive disorder, recurrent, in remission.
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 means that patients experience multiple episodes of depression, which can vary in severity and duration. When coded as F33.4, it indicates that the patient is currently in remission, meaning they are not experiencing active depressive symptoms at the time of assessment. Remission can be partial or full, and it is crucial to document the duration and nature of the remission. Patients in remission may still require ongoing treatment, including psychotherapy and pharmacotherapy, to prevent relapse. The management of MDD often involves mood stabilizers and antidepressants, and careful monitoring for suicide risk is essential, as individuals with a history of recurrent depression may have an increased risk of suicidal ideation or attempts. Accurate coding requires a thorough understanding of the patient's history, current symptoms, and treatment plan.
Detailed psychiatric evaluations, treatment plans, and progress notes are essential. Documentation should include the patient's history of depressive episodes, current symptoms, and any risk assessments.
Patients presenting for follow-up after treatment for recurrent depression, those transitioning from active treatment to maintenance therapy, and assessments for suicide risk.
Psychiatrists must ensure that the remission status is clearly documented and that any ongoing treatment is justified.
Comprehensive medical history, including mental health assessments, treatment plans, and follow-up notes.
Routine screenings for depression, management of patients with a history of depression, and referrals to mental health specialists.
Primary care providers should be vigilant about monitoring for signs of relapse and documenting any changes in the patient's mental health status.
Used for ongoing therapy sessions with patients in remission from major depressive disorder.
Document the nature of the therapy, patient progress, and any changes in treatment.
Psychiatrists and psychologists should ensure that the therapy aligns with the diagnosis and treatment plan.
In remission means that the patient is not currently experiencing active symptoms of major depressive disorder, although they may have a history of recurrent episodes. Remission can be full or partial, and ongoing treatment may still be necessary to prevent relapse.
