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F33.0 ICD-10-CM Code: Major depressive disorder, recurrent, mild

F33.0 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupF33.0

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

F33.0

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

Major depressive disorder, recurrent, mild

Multiple episodes of depression throughout a person's life with mild symptoms that cause minimal functional impairment.

Buddy the Bee presenting code insight

Buddy Insight

Major depressive disorder, recurrent, mild indicates the patient has a history of multiple major depressive episodes with the current episode being mild.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

HCC 59

Code-level coefficient reference

RXHCC

HCC 132

Code-level coefficient reference

Inclusion Terms

Official

No inclusion terms are included in this display for F33.0. Check the code and parent instructions in the Code Book.

Excludes 2

Official
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Includes

Official
  • disorders of psychological developmentInherited from F01-F99, F33
  • recurrent episodes of depressive reactionInherited from F01-F99, F33
  • recurrent episodes of endogenous depressionInherited from F01-F99, F33
  • recurrent episodes of major depressionInherited from F01-F99, F33
  • recurrent episodes of psychogenic depressionInherited from F01-F99, F33
  • recurrent episodes of reactive depressionInherited from F01-F99, F33
  • recurrent episodes of seasonal affective disorderInherited from F01-F99, F33
  • recurrent episodes of seasonal depressive disorderInherited from F01-F99, F33
  • recurrent episodes of vital depressionInherited from F01-F99, F33

Excludes 1

Official
  • bipolar disorder (F31.-)Inherited from F33
  • manic episode (F30.-)Inherited from F33

Code First

Official

No Code First sequencing instructions are included in this display for F33.0. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F33.0. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F33.0. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Provider documentation of major depressive disorder with recurrent episodes
History of at least two separate major depressive episodes
Current episode documented as mild severity
Core depressive symptoms documented with minimal functional impairment

MEAT Support

HCC Buddy guidance
Provider documentation of major depressive disorder with recurrent episodes
History of at least two separate major depressive episodes
Current episode documented as mild severity
Core depressive symptoms documented with minimal functional impairment

Audit Caution

HCC Buddy guidance
Coding as single episode (F32.0) when the chart shows prior depressive episodes
Not reviewing psychiatric history to confirm recurrent status
Using unspecified (F33.9) when mild severity is documented
Confusing recurrent mild episodes with dysthymia — they are distinct diagnoses

Common Mistakes

HCC Buddy guidance
F32.0 — Major depressive disorder, single episode, mild: Only one lifetime episode
F33.1 — Major depressive disorder, recurrent, moderate: Greater functional impairment
F34.1 — Dysthymic disorder: Chronic persistent depression, not episodic recurrence
F33.9 — Major depressive disorder, recurrent, unspecified: Use when severity is not documented

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 F33.0 an HCC code?

F33.0 has no mapping under the current CMS-HCC V28 community payment model. F33.0 has a separate mapping under the CMS-HCC ESRD model (HCC 59 (Major Depressive/Bipolar/and Paranoid Disorders)) and the Part D RxHCC model (HCC 132 (Depression)); the applicable result needs member context.

Code
F33.0
Description
Major depressive disorder, recurrent, mild
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

HCC Category Mapping

ESRDHCC 59, Major Depressive/Bipolar/and Paranoid Disorders
Not separately weighted
RxHCCHCC 132, Depression
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. 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 context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F33.0 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F33.0

For F33.0, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • 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

Coder workflow notes

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What This Code Means

F33.0 is the ICD-10-CM diagnosis code for major depressive disorder, recurrent, mild. Multiple episodes of depression throughout a person's life with mild symptoms that cause minimal functional impairment. F33.0 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mood [affective] disorders (f30-f39).

F33.0 has no mapping under the current CMS-HCC V28 community payment model. F33.0 has a separate mapping under the CMS-HCC ESRD model (HCC 59 (Major Depressive/Bipolar/and Paranoid Disorders)) and the Part D RxHCC model (HCC 132 (Depression)); the applicable result needs member context. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.

MDD, recurrent, mild, chart must establish at least two distinct MDD episodes with current mild severity. The 'recurrent' specifier is durable across the chart's lifetime.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F33.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • MDD, recurrent, mild, chart must establish at least two distinct MDD episodes with current mild severity. The 'recurrent' specifier is durable across the chart's lifetime.
  • Do not miss the recurrent specifier when the history supports it. A patient with any documented prior depressive episode and current MDD should be coded F33.*, not F32.*.

Clinical Significance

Major depressive disorder, recurrent, mild indicates the patient has a history of multiple major depressive episodes with the current episode being mild. The recurrent designation is clinically significant because it indicates a higher lifetime risk of future episodes and typically warrants long-term or indefinite maintenance antidepressant therapy. Even mild recurrent depression requires ongoing management.

Documentation Requirements

  • Provider documentation of major depressive disorder with recurrent episodes
  • History of at least two separate major depressive episodes
  • Current episode documented as mild severity
  • Core depressive symptoms documented with minimal functional impairment
  • Maintenance treatment plan including medication management
  • Duration of current symptoms

Commonly Confused Codes

  • F32.0: Major depressive disorder, single episode, mild: Only one lifetime episode
  • F33.1: Major depressive disorder, recurrent, moderate: Greater functional impairment
  • F34.1: Dysthymic disorder: Chronic persistent depression, not episodic recurrence
  • F33.9: Major depressive disorder, recurrent, unspecified: Use when severity is not documented

Child Codes

Code Hierarchy

Also searched as

  • F33 0
  • F330

More on F33.0

Code family

Every F33 code with its CMS-HCC V28 statusMajor depressive disorder, recurrent, 9 billable codes

Related condition guides

Referenced in blog posts

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