Major depressv disorder, recurrent, severe w psych symptoms

This code signifies a severe form of depression characterized by multiple prior episodes, where the current episode includes a loss of contact with reality, such as hallucinations or delusions. The psychotic features are mood-congruent or mood-incongruent and occur exclusively during the depressive episodes. This diagnosis indicates a significant impairment in functioning.

Apply this code when a patient presents with a current severe major depressive episode, has a history of at least one previous major depressive episode, and exhibits psychotic symptoms. Documentation must clearly specify the recurrent nature of the depression, the severity of the current episode, and the presence of psychotic features (e.g., delusions, hallucinations).

• Ensure documentation explicitly states "recurrent" and "severe" along with "psychotic symptoms."
• Do not use this code if the psychotic symptoms are present in the absence of a major depressive episode (e.g., schizophrenia, schizoaffective disorder).
• Consider an additional code for specific psychotic symptoms if further detail is required and documented.