Excludes1 pair
F32.3 vs F53-
F32.3 and F53 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
F32.3
Major depressive disorder, single episode, severe with psychotic features
Billable
- Chapter 5
- Mental, Behavioral and Neurodevelopmental disorders
- Section
- F30-F39
Use when the record says
- 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
Indexed under
- Depression › psychotic (single episode)
- Melancholia › reactive (emotional stress or trauma)
- Depression › major › with psychotic symptoms
- Depression › reactive › psychotic (single episode)
- Psychosis, psychotic › psychogenic › depressive
F53
Mental and behavioral disorders associated with the puerperium, not elsewhere classified
Not billable
- Chapter 5
- Mental, Behavioral and Neurodevelopmental disorders
- Section
- F50-F59
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027