ICDcodes.org
FY2027

F33.3 — Major depressive disorder, recurrent, severe with psychotic symptoms

BillableCC

Is F33.3 billable?

Yes — F33.3 is billable for FY2027. F33.3 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. F33.3 may be submitted for encounters from October 1, 2026 through September 30, 2027.

F33.3 at a glance

CodeF33.3
DescriptionMajor depressive disorder, recurrent, severe with psychotic symptoms
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does F33.3 group to?

F33.3 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, F33.3 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is F33.3 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to F33.3. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Depression › endogenous › with psychotic symptoms (acute) (mental)
  • Depression › psychotic › recurrent (acute) (mental)
  • Depression › vital › with psychotic symptoms (acute) (mental)
  • Psychosis, psychotic › reactive › depressive › recurrent
  • Disorder › depressive › major › recurrent › with psychotic features (of)
  • Disorder › depressive › recurrent › current episode › severe › with psychotic symptoms (of)

Inclusion terms

Alternative wording in documentation that is classified to F33.3.

  • 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

Excludes1 — never code together — inherited from F33

The conditions below can never be reported together with F33.3 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.

Excludes2 — not included here — inherited from Chapter 5

The conditions below are not part of F33.3, but a patient may have both at the same time. When documentation supports it, F33.3 and the excluded code may both be reported.

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

How long has F33.3 existed?

F33.3 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 F33.3?

ICD-10-CM declares these codes mutually exclusive with F33.3 — exactly one of each pair can be correct for a given encounter.

Which conditions are coded to F33.3?

What other codes are in the F33 family? (6)