ICD Code F33.3

ICD code F33.3 is used to classify a diagnosis of major depressive disorder that is recurrent and severe, accompanied by psychotic symptoms. This means the patient experiences repeated episodes of depression that are intense and include symptoms such as hallucinations or delusions, which are not present in less severe forms of depression. This code helps healthcare providers accurately document and communicate the specific nature of the patient's mental health condition for treatment planning and billing purposes.

1. Recurrent Episodes: The patient must have experienced multiple episodes of major depressive disorder. These episodes are characterized by periods of depression that occur more than once, with intervals of at least two consecutive months in which the individual does not meet the criteria for a major depressive episode.

2. Severe Depression: The depressive episodes must be severe, significantly impairing the individual's ability to function in daily life. This includes marked distress or impairment in social, occupational, or other important areas of functioning.

3. Presence of Psychotic Symptoms: The individual must exhibit psychotic symptoms during the depressive episodes. These symptoms can include delusions or hallucinations, which are not consistent with reality and are typically mood-congruent, meaning they align with the depressive themes.

4. Duration of Symptoms: The symptoms must persist for a minimum duration, typically at least two weeks, to be considered a major depressive episode.

5. Exclusion of Other Disorders: The symptoms should not be better explained by another mental disorder, such as schizoaffective disorder, schizophrenia, or a delusional disorder.

6. Exclusion of Substance or Medical Condition: The depressive and psychotic symptoms should not be attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition.

7. Impact on Daily Life: The symptoms must cause significant distress or impairment in social, occupational, or other important areas of functioning.

8. Mood Congruence: If psychotic features are present, they are typically mood-congruent, meaning they are consistent with the depressive themes, such as feelings of guilt, worthlessness, or inadequacy.

By meeting these criteria, healthcare providers can accurately utilize the ICD code for documenting and managing the condition in the patient's medical records.

For the ICD code F33.3, which pertains to major depressive disorder, recurrent, severe with psychotic symptoms, the relevant CPT codes that may be applicable for treatment include:

1. 90837 - Psychotherapy, 60 minutes with patient.
2. 90834 - Psychotherapy, 45 minutes with patient.
3. 90832 - Psychotherapy, 30 minutes with patient.
4. 90853 - Group psychotherapy (other than of a multiple-family group).
5. 90847 - Family psychotherapy (conjoint psychotherapy) with patient present.
6. 99213 - Established patient office or other outpatient visit, typically 15 minutes.
7. 99214 - Established patient office or other outpatient visit, typically 25 minutes.
8. 99215 - Established patient office or other outpatient visit, typically 40 minutes.
9. 90791 - Psychiatric diagnostic evaluation without medical services.
10. 90792 - Psychiatric diagnostic evaluation with medical services.
11. 90839 - Psychotherapy for crisis; first 60 minutes.
12. 90840 - Psychotherapy for crisis; each additional 30 minutes.

These CPT codes are commonly used in the treatment of conditions associated with the ICD code F33.3, focusing on various psychotherapy and evaluation services. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered during the patient encounter.

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