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F32.3

Major depressive disorder, single episode, severe with psychotic features

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 5 never code together
F32code
Excludes1
  • bipolar disorder (F31.-)F31.-
  • manic episode (F30.-)F30.-
  • recurrent depressive disorder (F33.-)F33.-
Excludes2
  • adjustment disorder (F43.2)F43.2
F01-F99chapter
Excludes2
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)R00-R99

Excludes1 — never code together. The excluded condition and this one are mutually exclusive.

Excludes2 — not included here, but the patient may have both. Code both when documented.

Instructional notes 13
F32code
Includes
  • single episode of agitated depression
  • single episode of depressive reaction
  • single episode of major depression
  • single episode of psychogenic depression
  • single episode of reactive depression
  • single episode of vital depression
F32.3code
Inclusion terms
  • Single episode of major depression with mood-congruent psychotic symptoms
  • Single episode of major depression with mood-incongruent psychotic symptoms
  • Single episode of major depression with psychotic symptoms
  • Single episode of psychogenic depressive psychosis
  • Single episode of psychotic depression
  • Single episode of reactive depressive psychosis
F01-F99chapter
Includes
  • disorders of psychological development
Index entries leading here 6
  • Depression (acute) (mental) F32.A
    • psychotic (single episode) F32.3
    • reactive (psychogenic) (single episode) F32.9
      • psychotic (single episode) F32.3
    • major F32.9
      • with psychotic symptoms F32.3
  • Episode
    • depressive F32.A
      • major F32.9
        • severe (without psychotic symptoms) F32.2
          • with psychotic symptoms F32.3
  • Disorder (of) — see also Disease
    • depressive F32.A
      • major F32.9
        • with psychotic symptoms F32.3
        • single episode F32.9
          • severe (without psychotic symptoms) F32.2
            • with psychotic symptoms F32.3
  • Psychosis, psychotic F29
    • psychogenic (paranoid) F23
    • reactive (brief) (transient) (emotional stress) (psychological trauma) F23
  • Reaction — see also Disorder
    • depressive (single episode) F32.9
  • Melancholia F32.A
    • reactive (emotional stress or trauma) F32.3
Alongside this code 8 same parent — F32
Medications 2

MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.

Additional references
AHA Coding Clinic® Licence required

Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.

Risk adjustment

CMS22HCC58 CMS28HCC152 ESRD21HCC58 ESRD24HCC59 RX08HCC132

Presence is a property of the code. Untick a model to hide it everywhere.

This code

Billable
yes
Code set
FY2026
Parent
F32
Block
F30-F39
Siblings
8

Present FY2024–FY2027.