Depressive type psychosis

This code signifies a severe mental disorder characterized by a prominent depressive mood alongside psychotic features, such as delusions or hallucinations. The individual experiences a significant impairment in reality testing, distinguishing it from non-psychotic depressive disorders.

Apply this code when documentation clearly indicates a diagnosis of depression with co-occurring psychotic symptoms. This typically involves a psychiatric evaluation detailing both the depressive affect and the presence of delusions, hallucinations, or disorganized thought processes.

• Ensure the documentation explicitly states "psychotic features" or describes specific psychotic symptoms in the context of depression.
• Differentiate from mood disorders with psychotic features (e.g., bipolar disorder, depressive type with psychotic features) which would be coded elsewhere.
• Do not use if the psychotic features are due to a substance or general medical condition; investigate those specific codes first.