Yes. F32.2 is a billable ICD-10-CM code that can be reported on professional and institutional claims as a primary or secondary diagnosis when the provider documentation supports the specific condition described. Billable codes in ICD-10-CM are coded to the highest level of specificity available for the documented diagnosis. F32.2 is current for fiscal year 2026 and remains in the active CMS ICD-10-CM code set published by the National Center for Health Statistics.

Which HCC does F32.2 map to under V28?

F32.2 maps to CMS-HCC V28 155 (Major Depression, Moderate or Severe, without Psychosis). The category number and label come from the CMS-HCC V28 model file for payment year 2026.

What does F32.2 pay in RAF?

F32.2 carries a community, non-dual, aged (CNA) RAF weight of 0.299 under CMS-HCC V28 for payment year 2026. The weight comes from the CMS V28 relative-factor file, not a hand-typed table.

What is the V28 vs V24 difference for F32.2?

CMS phased in the V28 risk adjustment model over payment years 2024 (33%), 2025 (67%), and 2026 (100%), replacing V24. V28 consolidates HCC categories, removes some lower-acuity conditions, and recalibrates RAF weights across the entire model. For F32.2, V28 maps to Major Depression, Moderate or Severe, without Psychosis at RAF 0.299 while V24 mapped to Major Depressive, Bipolar, and Paranoid Disorders at RAF 0.309. Both models can still appear in legacy data and in payer-specific lookback periods.

What documentation supports F32.2?

MDD, single episode, severe without psychotic features, PHQ-9 in the 15-19+ range or provider narrative indicating severe depression without psychosis. First depressive episode. Do not use F32.2 if psychotic features are documented (use F32.3) or if the patient has prior episodes (use F33.2). Severity and recurrence drive different codes. V28 HCC 155 at RAF 0.299. Because F32.2 maps to a payment HCC, the documentation must also satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's risk adjustment score. See the MEAT criteria checklist at /meat-criteria for what Monitor, Evaluate, Assess, or Treat looks like in a note. MEAT is generic documentation evidence, not a payer-specific rule.

2026 ICD-10-CM F32.2: Major depressive disorder

F32.2 maps to CMS-HCC V28 155 (RAF 0.299). Documentation must support MEAT. MEAT criteria · RAF calculator · HCC Buddy coding tools

ICD-10-CM Code View

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Code lookupF32.2Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mood [affective] disorders (F30-F39)

F32.2

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Major depressive disorder, single episode, severe without psychotic features

A first episode of major depression with severe symptoms that significantly impair functioning, but without hallucinations or delusions.

Buddy Insight

Major depressive disorder, single episode, severe without psychotic features indicates a profound first depressive episode with marked functional impairment across all life domains.

CMS-HCC V28

Mapped

HCC 155

Major Depression, Moderate or...

RAF 0.299

CMS-HCC V24

Mapped

HCC 59

Major Depressive, Bipolar, an...

RAF 0.309

ACA/HHS

Mapped

HCC 88

HHS-HCC 88

Varies by metal level

ESRD/PACE

Mapped

HCC 59

Major Depressive, Bipolar, an...

RAF 0.066

RXHCC

Mapped

HCC 132

Major Depressive Disorder and...

RAF 0.070

Code Book Path

Official

F32Depressive episode

F32.2Major depressive disorder, single episode, severe without psychotic features

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for F32.2 in this effective period.

Excludes 2

Official

adjustment disorder (F43.2)

Related Child Codes

Official

F32.0Major depressive disorder, single episode, mild

F32.1Major depressive disorder, single episode, moderate

F32.3Major depressive disorder, single episode, severe with psychotic features

F32.4Major depressive disorder, single episode, in partial remission

F32.5Major depressive disorder, single episode, in full remission

Includes

Official

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

Excludes 1

Official

bipolar disorder (F31.-)
manic episode (F30.-)
recurrent depressive disorder (F33.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for F32.2 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for F32.2 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for F32.2 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance

Provider documentation of major depressive disorder meeting full diagnostic criteria

Single episode confirmed — no prior major depressive episodes

Severity explicitly documented as severe

Absence of psychotic features documented (no delusions or hallucinations)

MEAT Support

HCC Buddy guidance

Provider documentation of major depressive disorder meeting full diagnostic criteria

Single episode confirmed — no prior major depressive episodes

Severity explicitly documented as severe

Absence of psychotic features documented (no delusions or hallucinations)

Audit Caution

HCC Buddy guidance

Missing psychotic features that would upgrade to F32.3 — screen for delusions of guilt, worthlessness, somatic concerns

Using single episode when prior episodes exist in the psychiatric history

Not documenting the suicide risk assessment expected with severe depression

Coding severe depression based solely on PHQ-9 score without provider confirmation of severity

Common Mistakes

HCC Buddy guidance

F32.3 — Major depressive disorder, single episode, severe with psychotic features: Requires documented psychotic symptoms

F32.1 — Major depressive disorder, single episode, moderate: Less severe functional impairment

F33.2 — Major depressive disorder, recurrent, severe: Prior episodes documented

F31.4 — Bipolar disorder, depressed, severe: Use when bipolar history exists

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F32.2 an HCC code?

Yes. F32.2 (Major depressive disorder, single episode, severe without psychotic features) maps to Major Depression, Moderate or Severe, without Psychosis under the CMS-HCC V28 risk adjustment model (and Major Depressive, Bipolar, and Paranoid Disorders under V24), with a community non-dual aged RAF of 0.299. It is billable for payment year 2026.

Coder answer: F32.2 is billable and maps to V28 HCC 155, Major Depression, Moderate or Severe, without Psychosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F32.2
Description: Major depressive disorder, single episode, severe without psychotic features
HCC (V28): HCC 155 — Major Depression, Moderate or Severe, without Psychosis
RAF: 0.299
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 155, Major Depression, Moderate or Severe, without Psychosis

0.299

V24HCC 59, Major Depressive, Bipolar, and Paranoid Disorders

0.309

ESRDHCC 59, Major Depressive, Bipolar, and Paranoid Disorders

0.066

RxHCCHCC 132, Major Depressive Disorder and Other Mood Disorders

0.070

Each model's RAF is its CMS base weight for that model's standard population, so weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member segment, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains in use during the transition and for historical data.

Work F32.2 in the Code Book — tabular path, V28 RAF, and MEAT checklist →

MEAT Criteria for F32.2

For F32.2 to count as a valid HCC diagnosis in a given encounter, the provider's documentation must show MEAT: Monitor, Evaluate, Assess, or Treat. A diagnosis from a prior year does not carry forward automatically, it has to be re-documented and supported each calendar year.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Only one of M/E/A/T is required to support the code, but the documentation must be specific enough to show that the provider actually addressed F32.2 during that encounter, not just copy-forwarded from a problem list.

Coder workflow notes

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What This Code Means

F32.2 is the ICD-10-CM diagnosis code for major depressive disorder, single episode, severe without psychotic features. A first episode of major depression with severe symptoms that significantly impair functioning, but without hallucinations or delusions. F32.2 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mood [affective] disorders (f30-f39).

Under the CMS-HCC V28 risk adjustment model, F32.2 maps to Major Depression, Moderate or Severe, without Psychosis (HCC 155) with a community, non-dual, aged base RAF weight of 0.299. Under the older CMS-HCC V24 model, F32.2 maps to Major Depressive, Bipolar, and Paranoid Disorders (HCC 59) with a community, non-dual, aged base RAF weight of 0.309. V28 is the CMS-HCC risk adjustment model that reached 100% phase-in for payment year 2026, replacing V24 which was used during the PY2024–PY2025 transition.

MDD, single episode, severe without psychotic features, PHQ-9 in the 15-19+ range or provider narrative indicating severe depression without psychosis. First depressive episode. Because F32.2 maps to a payment HCC, the provider's documentation must satisfy MEAT criteria (Monitor, Evaluate, Assess, or Treat) for the encounter to count toward the patient's Medicare Advantage risk adjustment score. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for F32.2 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•MDD, single episode, severe without psychotic features, PHQ-9 in the 15-19+ range or provider narrative indicating severe depression without psychosis. First depressive episode.
•Do not use F32.2 if psychotic features are documented (use F32.3) or if the patient has prior episodes (use F33.2). Severity and recurrence drive different codes.
•V28 HCC 155 at RAF 0.299.

Clinical Significance

Major depressive disorder, single episode, severe without psychotic features indicates a profound first depressive episode with marked functional impairment across all life domains. Severe major depression carries significant suicide risk and often requires intensive treatment including hospitalization, medication management, and psychotherapy. This severity level reflects substantial healthcare resource utilization.

Documentation Requirements

✓Provider documentation of major depressive disorder meeting full diagnostic criteria
✓Single episode confirmed — no prior major depressive episodes
✓Severity explicitly documented as severe
✓Absence of psychotic features documented (no delusions or hallucinations)
✓Suicide risk assessment and safety plan
✓Evidence of marked functional impairment
✓Treatment plan including medication and monitoring frequency

Commonly Confused Codes

•F32.3: Major depressive disorder, single episode, severe with psychotic features: Requires documented psychotic symptoms
•F32.1: Major depressive disorder, single episode, moderate: Less severe functional impairment
•F33.2: Major depressive disorder, recurrent, severe: Prior episodes documented
•F31.4: Bipolar disorder, depressed, severe: Use when bipolar history exists