F33UpcomingCategory · further specificity required

Major depressive disorder, recurrent

Code-level instructions

Excludes 1

bipolar disorder (F31.-)
manic episode (F30.-)

Excludes 2 · 1

Chapters 5 · Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

Excludes 2

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

More specific codes

F33.0Major depressive disorder, recurrent, mild F33.1Major depressive disorder, recurrent, moderate F33.2Major depressive disorder, recurrent severe without psychotic features F33.3Major depressive disorder, recurrent, severe with psychotic symptoms F33.4Major depressive disorder, recurrent, in remission F33.8Other recurrent depressive disorders F33.9Major depressive disorder, recurrent, unspecified

Claims & coverage

When ICD-10-CM is required

For US diagnosis claims covered by HIPAA, ICD-10-CM is required from October 1, 2015.

Use the service date for outpatient/professional claims and the discharge date for hospital inpatient claims. Earlier encounters use ICD-9-CM; each individual code must also be valid for the applicable date.

Official coding guidelines → · CMS ↗

First observed · 2015-10-01

Code history

Latest recorded change · FY2023

ChangedUnchanged

FY2023

Effective from 2022-10-01

Code-level rules changed

Major depressive disorder, recurrent

Category — select a more specific code

CDC/NCHS · FY2023

All editions (19)

All editions	Effective from	Code history
FY2016	2015-10-01	First observed
FY2017	2016-10-01	No tabular change
FY2018	2017-10-01	No tabular change
FY2019	2018-10-01	No tabular change
FY2020	2019-10-01	No tabular change
FY2020 · April	2020-04-01	No tabular change
FY2021	2020-10-01	No tabular change
FY2021 · 01-01	2021-01-01	No tabular change
FY2022	2021-10-01	No tabular change
FY2022 · 04-01	2022-04-01	No tabular change
FY2023	2022-10-01	Code-level rules changed
FY2023 · 04-01	2023-04-01	No tabular change
FY2024	2023-10-01	No tabular change
FY2024 · 04-01	2024-04-01	No tabular change
FY2025	2024-10-01	No tabular change
FY2025 · 04-01	2025-04-01	No tabular change
FY2026	2025-10-01	No tabular change
FY2026 · April	2026-04-01	No tabular change
FY2027	2026-10-01	No tabular change

Code-level instructions

Includes

recurrent episodes of depressive reaction
recurrent episodes of endogenous depression
recurrent episodes of major depression
recurrent episodes of psychogenic depression
recurrent episodes of reactive depression
recurrent episodes of seasonal affective disorder
recurrent episodes of seasonal depressive disorder
recurrent episodes of vital depression

Excludes 1

bipolar disorder (F31.-)
manic episode (F30.-)

Inherited instructions

Chapters 5 · Mental, Behavioral and Neurodevelopmental disorders (F01-F99)

Includes

disorders of psychological development

Excludes 2

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

More specific codes

F33.0Major depressive disorder, recurrent, mildBillable / specific F33.1Major depressive disorder, recurrent, moderateBillable / specific F33.2Major depressive disorder, recurrent severe without psychotic featuresBillable / specific F33.3Major depressive disorder, recurrent, severe with psychotic symptomsBillable / specific F33.4Major depressive disorder, recurrent, in remissionCategory · further specificity required F33.8Other recurrent depressive disordersBillable / specific F33.9Major depressive disorder, recurrent, unspecifiedBillable / specific

Official index references (1)

Disorder(of) (1)

Disorder(of) › seasonal affective, recurrent episodesDisease index

Related codes

Official titles and instructions are preserved in their source language. Official sources ↗

References from other codes (8)

F30 · Manic episode

Excludes 1 · major depressive disorder, recurrent (F33.-)

F31 · Bipolar disorder

Excludes 1 · major depressive disorder, recurrent (F33.-)

F32 · Depressive episode

Excludes 1 · recurrent depressive disorder (F33.-)

F42 · Obsessive-compulsive disorder

Excludes 2 · obsessive-compulsive symptoms occurring in depression (F32.-, F33.-)

F44.2 · Dissociative stupor

Excludes 2 · depressive stupor (F32, F33)

F63.2 · Kleptomania

Excludes 2 · depressive disorder with stealing (F31.-, F32.-, F33.-)

R40.1 · Stupor

Excludes 1 · depressive stupor (F31.-, F32.-, F33.-)

R53.8 · Other malaise and fatigue

Excludes 1 · exhaustion and fatigue due to recurrent depressive episode (F33-)