F32.2

Billable

Major depressive disorder, single episode, severe without psychotic features

HCC Category Mapping

V28HCC 155 — Major Depressive, Bipolar, and Paranoid Disorders

0.425

V24HCC 59 — Major Depressive, Bipolar, and Paranoid Disorders

0.309

ESRDHCC 59 — Major Depressive, Bipolar, and Paranoid Disorders

0.000

RxHCCHCC 132 — Major Depressive Disorder and Other Mood Disorders

0.000

What This Code Means

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

Coding Tips

•Verify this is the patient's first major depressive episode; if recurrent, use F33 codes instead
•Confirm absence of psychotic features; if present, use F32.3

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

Code Hierarchy

└F32Depressive episode └F32.2Major depressive disorder, single episode, severe without psychotic features

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