2020 ICD-10-CM Diagnosis Code F33.3

Major depressive disorder, recurrent, severe with psychotic symptoms

    2016 2017 2018 2019 2020 Billable/Specific Code
  • F33.3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Major depressv disorder, recurrent, severe w psych symptoms
  • The 2020 edition of ICD-10-CM F33.3 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of F33.3 - other international versions of ICD-10 F33.3 may differ.
Applicable To
  • 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
The following code(s) above F33.3 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to F33.3:
  • F01-F99
    2020 ICD-10-CM Range F01-F99

    Mental, Behavioral and Neurodevelopmental disorders

    Includes
    • disorders of psychological development
    Type 2 Excludes
    • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
    Mental, Behavioral and Neurodevelopmental disorders
  • F33
    ICD-10-CM Diagnosis Code F33

    Major depressive disorder, recurrent

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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 depressive disorder
    • recurrent episodes of vital depression
    Type 1 Excludes
    Major depressive disorder, recurrent
Approximate Synonyms
  • Depression, major, recurrent, severe with psychosis
  • Major depression, recurrent, severe, w psychosis
  • Severe recurrent major depression with psychotic features
ICD-10-CM F33.3 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 885 Psychoses

Convert F33.3 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to F33.3:
  • Type 1 Excludes: F25
    , F20
    , F53
    , F22
    , R44
    ICD-10-CM Diagnosis Code F25

    Schizoaffective disorders

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code F20

    Schizophrenia

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    ICD-10-CM Diagnosis Code F53

    Mental and behavioral disorders associated with the puerperium, not elsewhere classified

      2016 2017 2018 2019 - Converted to Parent Code 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code F22

    Delusional disorders

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Delusional dysmorphophobia
    • Involutional paranoid state
    • Paranoia
    • Paranoia querulans
    • Paranoid psychosis
    • Paranoid state
    • Paraphrenia (late)
    • Sensitiver Beziehungswahn
    Type 1 Excludes
    Type 2 Excludes
    • paranoid personality disorder (F60.0)
    • paranoid psychosis, psychogenic (F23)
    • paranoid reaction (F23)
    ICD-10-CM Diagnosis Code R44

    Other symptoms and signs involving general sensations and perceptions

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • alcoholic hallucinations (F1.5)
    • hallucinations in drug psychosis (F11-F19 with .5)
    • hallucinations in mood disorders with psychotic symptoms (F30.2, F31.5, F32.3, F33.3)
    • hallucinations in schizophrenia, schizotypal and delusional disorders (F20-F29)
    Type 2 Excludes
    • disturbances of skin sensation (R20.-)
  • Type 2 Excludes: F23
    ICD-10-CM Diagnosis Code F23

    Brief psychotic disorder

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Paranoid reaction
    • Psychogenic paranoid psychosis
    Type 2 Excludes

Diagnosis Index entries containing back-references to F33.3:
  • Depression (acute) (mental) F32.9
    ICD-10-CM Diagnosis Code F32.9

    Major depressive disorder, single episode, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Depression NOS
    • Depressive disorder NOS
    • Major depression NOS
    • endogenous (without psychotic symptoms) F33.2
      ICD-10-CM Diagnosis Code F33.2

      Major depressive disorder, recurrent severe without psychotic features

        2016 2017 2018 2019 2020 Billable/Specific Code
      • with psychotic symptoms F33.3
    • psychotic (single episode) F32.3
      ICD-10-CM Diagnosis Code F32.3

      Major depressive disorder, single episode, severe with psychotic features

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Single episode of major depression with mood-congruent psychotic symptoms
      • Single episode of major depression with mood-incongruent psychotic symptoms
      • Single episode of major depression with psychotic symptoms
      • Single episode of psychogenic depressive psychosis
      • Single episode of psychotic depression
      • Single episode of reactive depressive psychosis
      • recurrent F33.3
    • vital (recurrent) (without psychotic symptoms) F33.2
      ICD-10-CM Diagnosis Code F33.2

      Major depressive disorder, recurrent severe without psychotic features

        2016 2017 2018 2019 2020 Billable/Specific Code
      • with psychotic symptoms F33.3
  • Disorder (of) - see also Disease
    • depressive F32.9
      ICD-10-CM Diagnosis Code F32.9

      Major depressive disorder, single episode, unspecified

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Depression NOS
      • Depressive disorder NOS
      • Major depression NOS
      • major F32.9
        ICD-10-CM Diagnosis Code F32.9

        Major depressive disorder, single episode, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Depression NOS
        • Depressive disorder NOS
        • Major depression NOS
        • recurrent F33.9
          ICD-10-CM Diagnosis Code F33.9

          Major depressive disorder, recurrent, unspecified

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Monopolar depression NOS
          • with psychotic features F33.3
      • recurrent F33.9
        ICD-10-CM Diagnosis Code F33.9

        Major depressive disorder, recurrent, unspecified

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Monopolar depression NOS
        • current episode
          • severe (without psychotic symptoms) F33.2
            ICD-10-CM Diagnosis Code F33.2

            Major depressive disorder, recurrent severe without psychotic features

              2016 2017 2018 2019 2020 Billable/Specific Code
            • with psychotic symptoms F33.3
  • Psychosis, psychotic F29
    ICD-10-CM Diagnosis Code F29

    Unspecified psychosis not due to a substance or known physiological condition

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Psychosis NOS
    • Unspecified schizophrenia spectrum and other psychotic disorder
    Type 1 Excludes
    • mental disorder NOS (F99)
    • unspecified mental disorder due to known physiological condition (F09)
    • reactive (brief) (transient) (emotional stress) (psychological trauma) F23
      ICD-10-CM Diagnosis Code F23

      Brief psychotic disorder

        2016 2017 2018 2019 2020 Billable/Specific Code
      Applicable To
      • Paranoid reaction
      • Psychogenic paranoid psychosis
      Type 2 Excludes
      • depressive F32.3
        ICD-10-CM Diagnosis Code F32.3

        Major depressive disorder, single episode, severe with psychotic features

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Single episode of major depression with mood-congruent psychotic symptoms
        • Single episode of major depression with mood-incongruent psychotic symptoms
        • Single episode of major depression with psychotic symptoms
        • Single episode of psychogenic depressive psychosis
        • Single episode of psychotic depression
        • Single episode of reactive depressive psychosis
        • recurrent F33.3

ICD-10-CM Codes Adjacent To F33.3
F32.4 Major depressive disorder, single episode, in partial remission
F32.5 Major depressive disorder, single episode, in full remission
F32.8 Other depressive episodes
F32.81 Premenstrual dysphoric disorder
F32.89 Other specified depressive episodes
F32.9 Major depressive disorder, single episode, unspecified
F33 Major depressive disorder, recurrent
F33.0 Major depressive disorder, recurrent, mild
F33.1 Major depressive disorder, recurrent, moderate
F33.2 Major depressive disorder, recurrent severe without psychotic features
F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
F33.4 Major depressive disorder, recurrent, in remission
F33.40 …… unspecified
F33.41 Major depressive disorder, recurrent, in partial remission
F33.42 Major depressive disorder, recurrent, in full remission
F33.8 Other recurrent depressive disorders
F33.9 Major depressive disorder, recurrent, unspecified
F34 Persistent mood [affective] disorders
F34.0 Cyclothymic disorder
F34.1 Dysthymic disorder
F34.8 Other persistent mood [affective] disorders

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.