A code has been created to identify depression (unspecified) and the narrative at category F32 was revised from Major depressive disorder, single episode to “Depressive episode.” This retitling brings back the WHO ICD-10 category title, and also brings the title into better alignment with all of what has been included in the category. The new code follows:
- F32.A Depression, unspecified
The exact etiology of depression is unclear; however, risk factors may include heredity, certain physical disorders, emotionally distressing events, changes in hormone levels, and side effects of certain drugs.
Symptoms of depression vary, and typically develop gradually over days or weeks. Symptoms may include anxiety, feelings of loneliness, irritability, sadness, poor concentration, poor hygiene, and loss of interest in activities that were once enjoyed. Some people have poor appetite while others overeat. Some become withdrawn, have difficulty sleeping or sleep more than usual, and some have thoughts of death and suicide.
Previously in ICD-10-CM, the default for Depression not otherwise specified (NOS) was code F32.9, Major depressive disorder, single episode, unspecified. However, this code did not separately capture the actual occurrence of depression not further specified, and statistically inflated the incidence of major depressive disorder.
A 25-year-old male patient was seen in his physician’s office for a follow up visit. He continues to express feelings of loneliness, sadness, and loss of interest in hobbies that he once enjoyed. The provider diagnosed depression. What is the correct code assignment for depression?
Assign code F32.A, Depression, unspecified, for depression not further specified.