F33.3 Major depressive disorder, recurrent, severe with psychotic symptoms
ICD-10-CM · CMS code reference
F33.3 is recurrent major depressive disorder documented as severe with psychotic symptoms. If the severe episodes are documented without psychotic features, use F33.2.
What to know
- Listed terms include endogenous depression with psychotic symptoms, and recurrent severe episodes of psychotic depression, psychogenic or reactive depressive psychosis, or major depression with mood-congruent or mood-incongruent psychotic symptoms.
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
- 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
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
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.-)
Related codes
F33.0Major depressive disorder, recurrent, mild ICD-10-CMF33.1Major depressive disorder, recurrent, moderate ICD-10-CMF33.2Major depressive disorder, recurrent severe without psychotic features ICD-10-CMF33.40Major depressive disorder, recurrent, in remission, unspecified ICD-10-CMF33.41Major depressive disorder, recurrent, in partial remission ICD-10-CMF33.42Major depressive disorder, recurrent, in full remission ICD-10-CMF33.8Other recurrent depressive disorders ICD-10-CMF33.9Major depressive disorder, recurrent, unspecified ICD-10-CM
Common questions
Does recurrent major depressive disorder "with psychotic features" go to F33.3?
Yes. "Major depressive disorder, recurrent, with psychotic features" is a listed term for F33.3, even though the code title says psychotic symptoms.
Is F33.3 a billable code?
Yes. F33.3 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.