ICD Code F32.2

ICD code F32.2 is used to classify a major depressive disorder characterized by a single episode that is severe in nature but does not include any psychotic features. This code helps healthcare providers document and communicate the severity and specifics of the depressive episode for accurate diagnosis, treatment planning, and billing purposes.

1. Persistent Depressive Mood: The individual experiences a consistently low mood, sadness, or hopelessness that is present most of the day, nearly every day, for at least two weeks.

2. Significant Weight Change: There is a noticeable change in weight or appetite, either an increase or decrease, that is not related to dieting or other medical conditions.

3. Sleep Disturbances: The individual suffers from insomnia or hypersomnia nearly every day, affecting their overall functioning and daily routine.

4. Psychomotor Changes: Observable psychomotor agitation or retardation is present, which can be noted by others and is not merely subjective feelings of restlessness or being slowed down.

5. Fatigue or Loss of Energy: The person experiences a persistent lack of energy or chronic fatigue that is not alleviated by rest and affects daily activities.

6. Feelings of Worthlessness or Excessive Guilt: There are recurrent feelings of worthlessness or excessive or inappropriate guilt, which may be delusional, and are not merely self-reproach or guilt about being sick.

7. Diminished Ability to Think or Concentrate: The individual has difficulty concentrating, making decisions, or thinking clearly, which is noticeable to themselves or others.

8. Recurrent Thoughts of Death: There are frequent thoughts of death, suicidal ideation without a specific plan, or a suicide attempt or specific plan for committing suicide.

9. Functional Impairment: The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

10. Exclusion of Psychotic Features: The episode is characterized by the absence of psychotic features, such as delusions or hallucinations, which distinguishes it from other types of depressive disorders.

For the ICD code F32.2, which pertains to major depressive disorder, single episode, severe without psychotic features, the relevant CPT codes that may be applicable for treatment include:

1. 90834 - Psychotherapy, 45 minutes with patient.
2. 90837 - Psychotherapy, 60 minutes with patient.
3. 90847 - Family psychotherapy (conjoint psychotherapy) with patient present, 50 minutes.
4. 99213 - Established patient office or other outpatient visit, typically 15 minutes.
5. 99214 - Established patient office or other outpatient visit, typically 25 minutes.
6. 99215 - Established patient office or other outpatient visit, typically 40 minutes.
7. 96127 - Brief emotional/behavioral assessment (e.g., depression inventory) with scoring and documentation, per standardized instrument.

These CPT codes are commonly used in the treatment and management of conditions related to the specified ICD code, allowing healthcare providers to document and bill for the services rendered.

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