ICD-10 code F33.1 describes Major Depressive Disorder, recurrent, moderate. This condition involves repeated episodes of clinically significant depression that interfere with daily functioning. According to DSM-5, moderate recurrent depression requires two or more episodes, with symptoms such as persistent sadness, loss of interest, changes in sleep/appetite, and impaired concentration.
Clinically, F33.1 highlights patients needing ongoing management and often multidisciplinary care. From a medical billing standpoint, selecting the correct ICD-10 code ensures providers receive appropriate reimbursement for services rendered.
The code is commonly used by:
Accurate use of F33.1 benefits both clinical documentation and payer compliance.
Typical services associated with F33.1 include:
When billing for F33.1, CPT codes often used include:
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Modifiers may apply when services involve:
Proper modifier application reduces denial risk and maximizes reimbursement
Reimbursement varies by payer, but factors influencing payment include:
Key difference: F32.1 represents a single depressive episode, while F33.1 requires multiple documented episodes.
At CuresMB, we see providers frequently underpaid due to:
Our team specializes in psychiatry and behavioral health billing, ensuring providers capture every dollar they earn. If you suspect underpayment on F33.1 claims, contact CuresMB today for a free billing audit and revenue review.
The ICD-10 F33.1 diagnosis code plays a vital role in accurately representing patients with recurrent moderate depression. For providers, correct coding supports both clinical integrity and financial sustainability. Pairing the right CPT codes, using modifiers wisely, and ensuring documentation meets DSM-5 standards can dramatically reduce denials and maximize reimbursement.
We help healthcare organizations navigate complex billing requirements, ensuring they get paid what they deserve.
It represents Major Depressive Disorder, recurrent, moderate, used when a patient has multiple episodes.
F32.1 = single episode, moderate depression. F33.1 = recurrent, moderate depression.
Yes, F33.1 is billable and specific for insurance claims.
Common CPTs include 90791, 90834, 99214, and 99493, depending on the service type.
Yes, if depression significantly impairs functioning, F33.1 may be cited in disability claims.
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