ICD Code F32.1

ICD code F32.1 is used to identify a diagnosis of major depressive disorder, single episode, moderate. This code is part of the International Classification of Diseases (ICD) system, which is used by healthcare providers to classify and code all diagnoses, symptoms, and procedures. Specifically, F32.1 indicates that the patient is experiencing a single episode of depression that is moderate in severity, meaning it is more severe than mild depression but does not meet the criteria for severe depression. This code helps in documenting the patient's condition for treatment planning, billing, and statistical purposes.

1. Presence of Depressive Symptoms: The individual must exhibit a depressed mood most of the day, nearly every day, as observed by themselves or others. This can manifest as feelings of sadness, emptiness, or hopelessness.

2. Diminished Interest or Pleasure: There should be a noticeable decrease in interest or pleasure in all, or almost all, activities most of the day, nearly every day.

3. Significant Weight Change or Appetite Disturbance: The individual may experience significant weight loss when not dieting or weight gain, or a decrease or increase in appetite nearly every day.

4. Sleep Disturbances: Insomnia or hypersomnia should be present nearly every day.

5. Psychomotor Changes: Observable psychomotor agitation or retardation should be present nearly every day, which is noticeable by others and not merely subjective feelings of restlessness or being slowed down.

6. Fatigue or Loss of Energy: The individual should experience fatigue or a loss of energy nearly every day.

7. Feelings of Worthlessness or Excessive Guilt: There should be feelings of worthlessness or excessive or inappropriate guilt nearly every day.

8. Diminished Ability to Think or Concentrate: The individual may have a diminished ability to think or concentrate, or indecisiveness, nearly every day.

9. Recurrent Thoughts of Death: There may be recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.

10. Impact on Functioning: The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

11. Exclusion of Other Causes: The episode is not attributable to the physiological effects of a substance or another medical condition.

12. Absence of Manic or Hypomanic Episodes: There should be no history of manic or hypomanic episodes, which would suggest a different diagnosis.

For the ICD code F32.1, which pertains to major depressive disorder, single episode, moderate, the relevant CPT codes that may be applicable for treatment include:

1. 90832 - Psychotherapy, 30 minutes with patient

2. 90834 - Psychotherapy, 45 minutes with patient

3. 90837 - Psychotherapy, 60 minutes with patient

4. 90839 - Psychotherapy for crisis, first 60 minutes

5. 90840 - Psychotherapy for crisis, each additional 30 minutes

6. 99201-99215 - Evaluation and management services, depending on the complexity and time spent

7. 96127 - Brief emotional/behavioral assessment (e.g., depression inventory)

8. G0444 - Annual depression screening, 15 minutes

These CPT codes are commonly used in the treatment and management of conditions associated with ICD code F32.1. It's important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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