ICD Code F33.42

ICD code F33.42 is used to classify a diagnosis of major depressive disorder that is recurrent but currently in full remission. This means that the individual has experienced multiple episodes of major depression in the past, but at the time of diagnosis, they are not exhibiting any significant symptoms of depression. This code is important for healthcare providers to document the patient's mental health status accurately, which can influence treatment plans and insurance billing.

1. History of Major Depressive Episodes: The patient must have a documented history of multiple major depressive episodes. These episodes should have occurred at different times, separated by at least two months during which the individual did not meet the criteria for a major depressive episode.

2. Current Remission Status: The patient is currently in full remission, meaning they have not experienced any significant symptoms of depression for an extended period, typically at least two months.

3. Absence of Depressive Symptoms: The patient should not exhibit any of the core symptoms of depression, such as persistent sadness, loss of interest or pleasure in activities, significant weight change, sleep disturbances, fatigue, feelings of worthlessness, or difficulty concentrating.

4. No Impact on Daily Functioning: The patient’s daily functioning should not be impaired by depressive symptoms. They should be able to engage in social, occupational, and other important activities without the interference of depressive symptoms.

5. Ongoing Monitoring and Evaluation: The patient should be under continuous monitoring and evaluation to ensure that they remain in remission and to promptly address any potential recurrence of depressive symptoms.

6. Absence of Other Mental Health Disorders: The patient should not be experiencing symptoms of other mental health disorders that could mimic or contribute to depressive symptoms, ensuring that the remission is specific to major depressive disorder.

7. Stability in Mood and Behavior: The patient should demonstrate stability in mood and behavior, with no significant fluctuations that could indicate a potential relapse into a depressive episode.

8. Compliance with Treatment Plan: The patient should be compliant with any ongoing treatment plan, which may include medication, therapy, or lifestyle modifications, to maintain remission and prevent recurrence.

For the ICD code F33.42, which pertains to major depressive disorder, recurrent, in full remission, the relevant CPT codes that may be applicable for treatment and management include:

1. 90832 - Psychotherapy, 30 minutes with patient

2. 90834 - Psychotherapy, 45 minutes with patient

3. 90837 - Psychotherapy, 60 minutes with patient

4. 90846 - Family psychotherapy (without the patient present)

5. 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present)

6. 99201-99205 - New patient office or other outpatient visit (for evaluation and management)

7. 99211-99215 - Established patient office or other outpatient visit (for evaluation and management)

8. 96127 - Brief emotional/behavioral assessment (e.g., depression inventory)

9. G0444 - Annual depression screening, 15 minutes

These CPT codes are typically used in the context of mental health services and may be billed in conjunction with the ICD code F33.42, depending on the specific services provided to the patient. Always ensure that the services provided align with the documentation and coding guidelines.

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