Coding and coverage · ICD-10-CM

F33

F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms

Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

F33

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
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

This code

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

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F30-F39 Mood [affective] disorders (F30-F39)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.