Medical Codes to Document Major Depressive Disorder

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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 and Diagnosis
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.
Places of Service (POS) should also be
documented
Depression Screening HCPCS/CPT Code
11 Office 22 Outpatient hospital
49 Independent clinic 71 State or
local public health clinic
G0444 Annual depression screening, 15 minutes
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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 F43.21Adjustm
ent 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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Depression Treatment
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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