ICDcodes.org
FY2027

F32.3 — Major depressive disorder, single episode, severe with psychotic features

BillableCC

Is F32.3 billable?

Yes — F32.3 is billable for FY2027. F32.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F32.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.

F32.3 at a glance

CodeF32.3
DescriptionMajor depressive disorder, single episode, severe with psychotic features
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does F32.3 group to?

F32.3 sits in MDC 19 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 885Psychosesmedical

As a secondary diagnosis, F32.3 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is F32.3 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to F32.3. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Depression › psychotic (acute) (mental)
  • Melancholia › reactive
  • Depression › major › with psychotic symptoms (acute) (mental)
  • Depression › reactive › psychotic (acute) (mental)
  • Psychosis, psychotic › psychogenic › depressive
  • Psychosis, psychotic › reactive › depressive
  • Reaction › depressive › psychotic
  • Disorder › depressive › major › with psychotic symptoms (of)
  • Episode › depressive › major › severe › with psychotic symptoms
  • Disorder › depressive › major › single episode › severe › with psychotic symptoms (of)

Inclusion terms

Alternative wording in documentation that is classified to F32.3.

  • 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

Excludes1 — never code together — inherited from F32

The conditions below can never be reported together with F32.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

  • bipolar disorder (F31.-)
  • manic episode (F30.-)
  • recurrent depressive disorder (F33.-)

Excludes2 — not included here — inherited from Chapter 5

The conditions below are not part of F32.3, but a patient may have both at the same time. When documentation supports it, F32.3 and the excluded code may both be reported.

  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Excludes2 — not included here — inherited from F32

The conditions below are not part of F32.3, but a patient may have both at the same time. When documentation supports it, F32.3 and the excluded code may both be reported.

  • adjustment disorder (F43.2)

How long has F32.3 existed?

F32.3 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

Which codes are confused with F32.3?

ICD-10-CM declares these codes mutually exclusive with F32.3 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to F32.3?

What other codes are in the F32 family? (8)