While documenting any form of depression on medical claims for reimbursement, it is critical to include the correct ICD-10 and CPT codes. Here are the medical codes to document major Depressive Disorder.
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Depression is a mood disorder mainly characterized by
persistently low mood and a feeling of sadness and loss
of interest. Different forms of depression include
postpartum depression, seasonal affective disorder,
persistent depressive disorder, and psychotic depression.
For better reimbursement, the documentation of this
condition should include episode (single or recurrent),
severity (mild or severe) as well as clinical status (in
partial or full remission). Outsourcing medical billing for
this mental health specialty helps psychiatrists focus on
patient care rather than on documentation tasks.
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Symptoms for depression can vary from mild to severe
including feeling sad, loss of interest or pleasure in
activities once enjoyed, disturbed sleeping or
sleeping too much, feeling worthless or guilty and
thoughts of death or suicide.
Patient Health Questionnaire (PHQ) is the
most commonly used instrument for
depression screening in the United States.
Depression Screening HCPCS/CPT Code
G0444 – Annual depression screening,
15 minutes
Places of Service (POS) should also be
documented
11 – Office
22 – Outpatient hospital
49 – Independent clinic
71 – State or local public
health clinic
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ICD-10 Codes for Depression
F32 Major depressive disorder, single episode
F33 Major depressive disorder, recurrent
F03.90 Unspecified dementia without behavioral disturbance
F34.1 Dysthymic disorder
F43.21Adjustment disorder with depressed mood
F06.31 – Mood disorder due to known physiological condition with depressive features
F06.32 – Mood disorder due to known physiological condition with major depressive-like
episode
F25.1- Schizoaffective disorder, depressive type
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Treatment options for depression include medications (antidepressants
or other psychotropic medications), psychotherapy, cognitive behavioral
therapy (CBT) or Electroconvulsive Therapy (ECT).
Commonly used CPT codes include:
90791 Psychiatric/psychological diagnostic interview without
medical services (intake interview)
90792 Psychiatric diagnostic interview (for prescribers /
medical services)
90834 Individual psychotherapy, 45 minutes
90837 Individual psychotherapy, 60 minutes
90847 Family psychotherapy with patient present
To ease their documentation tasks and to submit clean
claims for on-time reimbursement, hospitals can
consider psychiatry medical coding services provided
by an experienced medical billing company.
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