Major depressv disord, single epsd, severe w psych features

This code signifies a severe form of depression characterized by a single, distinct episode where the patient experiences profound sadness, anhedonia, and other depressive symptoms, accompanied by psychotic features such as delusions or hallucinations. These psychotic symptoms are mood-congruent or incongruent and occur exclusively during the depressive episode.

Apply this code when documentation clearly indicates a patient is experiencing their first episode of major depression, and the severity is explicitly stated as "severe" with the presence of psychotic features. The psychotic features must be directly associated with the depressive episode, not an independent psychotic disorder.

• Ensure documentation specifies "single episode" and "severe" severity.
• Verify that psychotic features are present and linked to the depressive episode, not a separate diagnosis like schizophrenia.
• Do not use if the patient has a history of manic or hypomanic episodes, as this would indicate bipolar disorder.