Health Information Management

Q&A: ICD-10-CM coding for depression

JustCoding News: Outpatient, January 25, 2012

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Q: How will coding for depression change in ICD-10-CM?

A: Let’s start by looking at how we currently code for depression in ICD-9-CM. Currently, depression codes fall under categories 290–319. Depression can be identified by type:

  • Psychoses
  • Neuroses
  • Personality disorders

Coders can assign fifth digits to signify severity, chronicity, or status within applicable code categories. For example, for code 296.2x (major depressive disorder, single episode), coders can assign a fifth digit to identify severity as mild, moderate, or severe without psychotic behavior, etc.

Coding for depression in ICD-10-CM is pretty similar. Depression is identified by type in categories F32 (major depressive disorder, single episode) and F33 (major depressive disorder, recurrent). For example, coders would report code F32.1 for a single episode of major depressive disorder, moderate.

The only difference is ICD-10-CM does not include the fifth digit list.

Editor’s Note: Shannon McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, director of HIM and coding at HCPro Inc., in Marblehead, MA, answered this question.

This answer was provided based on limited information that was submitted to JustCoding.com. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.

Need expert coding advice? Submit your question to Senior Managing Editor Michelle Leppert, CPC-A, at mleppert@hcpro.com, and we’ll do our best to get an answer for you.



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