F32.3 Major depressive disorder, single episode, severe with psychotic features
ICD-10-CM · CMS code reference
F32.3 is a single, severe episode of major depression with psychotic features documented. If the severe episode is documented without psychotic features, use F32.2.
What to know
- Listed terms for this code include psychotic depression, psychogenic or reactive depressive psychosis, and a single episode of major depression with psychotic symptoms, whether mood-congruent or mood-incongruent.
Coding notes
From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.
Also covers
- 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
Includes
- single episode of agitated depression
- single episode of depressive reaction
- single episode of major depression
- single episode of psychogenic depression
- single episode of reactive depression
- single episode of vital depression
Excludes1
Not coded together with this code. The exception is when the two conditions are unrelated to each other.
- bipolar disorder (F31.-)
- manic episode (F30.-)
- recurrent depressive disorder (F33.-)
Excludes2
Not part of this code, but both can be coded when both are documented.
- adjustment disorder (F43.2)
Related codes
F32.0Major depressive disorder, single episode, mild ICD-10-CMF32.1Major depressive disorder, single episode, moderate ICD-10-CMF32.2Major depressive disorder, single episode, severe without psychotic features ICD-10-CMF32.4Major depressive disorder, single episode, in partial remission ICD-10-CMF32.5Major depressive disorder, single episode, in full remission ICD-10-CMF32.81Premenstrual dysphoric disorder ICD-10-CMF32.89Other specified depressive episodes ICD-10-CMF32.9Major depressive disorder, single episode, unspecified ICD-10-CM
Common questions
What's the difference between F32.2 and F32.3?
Both are a single severe episode of major depression. F32.3 is used when psychotic features or symptoms are documented. F32.2 is used when the record says the episode is without psychotic features.
Is F32.3 a billable code?
Yes. F32.3 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.