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F33.3

Major depressive disorder, recurrent, severe with psychotic symptoms

Billable FY2026 2025-10-01 → 2026-09-30
Exclusions 3 never code together
F33code
Excludes1
  • bipolar disorder (F31.-)F31.-
  • manic episode (F30.-)F30.-
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 17
F33code
Includes
  • recurrent episodes of depressive reaction
  • recurrent episodes of endogenous depression
  • recurrent episodes of major depression
  • recurrent episodes of psychogenic depression
  • recurrent episodes of reactive depression
  • recurrent episodes of seasonal affective disorder
  • recurrent episodes of seasonal depressive disorder
  • recurrent episodes of vital depression
F33.3code
Inclusion terms
  • Endogenous depression with psychotic symptoms
  • Major depressive disorder, recurrent, with psychotic features
  • Recurrent severe episodes of major depression with mood-congruent psychotic symptoms
  • Recurrent severe episodes of major depression with mood-incongruent psychotic symptoms
  • Recurrent severe episodes of major depression with psychotic symptoms
  • Recurrent severe episodes of psychogenic depressive psychosis
  • Recurrent severe episodes of psychotic depression
  • Recurrent severe episodes of reactive depressive psychosis
F01-F99chapter
Includes
  • disorders of psychological development
Index entries leading here 3
  • Disorder (of) — see also Disease
    • depressive F32.A
      • recurrent F33.9
        • current episode
          • severe (without psychotic symptoms) F33.2
            • with psychotic symptoms F33.3
      • major F32.9
  • Depression (acute) (mental) F32.A
    • endogenous (without psychotic symptoms) F33.2
      • with psychotic symptoms F33.3
    • psychotic (single episode) F32.3
    • vital (recurrent) (without psychotic symptoms) F33.2
      • with psychotic symptoms F33.3
  • Psychosis, psychotic F29
    • reactive (brief) (transient) (emotional stress) (psychological trauma) F23
Alongside this code 6 same parent — F33
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
F33
Block
F30-F39
Siblings
6

Present FY2024–FY2027.