Major depressive disorder, recurrent, in remission, unspecified
ICD-10 F33.40 is a billable code used to indicate a diagnosis of major depressive disorder, recurrent, in remission, unspecified.
Major depressive disorder (MDD) is a common and serious mood disorder characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in previously enjoyed activities. The recurrent form of MDD indicates that the individual has experienced multiple episodes of depression, with periods of remission in between. The term 'in remission' signifies that the individual is currently not experiencing significant depressive symptoms, although they may still be at risk for future episodes. This code is used when the specific details of the remission status are not documented, making it 'unspecified.' Clinicians often utilize mood stabilizers and antidepressants to manage symptoms, and ongoing assessment of suicide risk is crucial, particularly in patients with a history of recurrent depression. The complexity of managing MDD lies in its multifactorial nature, including biological, psychological, and social factors, which can complicate treatment and coding.
Detailed patient history, treatment plans, and progress notes are essential. Documentation should include specific symptoms, duration, and any assessments related to suicide risk.
Patients presenting with recurrent depressive episodes, those in follow-up care after hospitalization, and individuals undergoing medication management.
Psychiatrists must ensure that all episodes and remission periods are clearly documented to support the use of F33.40.
Documentation should include screening results, treatment plans, and follow-up notes. Regular assessments of mood and suicide risk are critical.
Patients with a history of depression presenting for routine check-ups or those experiencing new symptoms.
Primary care providers should be vigilant in documenting any changes in mood or behavior that may indicate a recurrence of depression.
Used for follow-up visits for patients in remission from recurrent depression.
Document the patient's history, current status, and any treatment adjustments.
Psychiatrists may require more detailed notes on symptom assessment and treatment response.
'In remission' indicates that the patient is not currently experiencing significant depressive symptoms, although they may have a history of recurrent episodes. This status is crucial for accurate coding and treatment planning.
