Medical Codes to Document Major Depressive Disorder

Medical Codes to Document Major Depressive Disorder www.outsourcestrategies.com 8596 E. 101st Street, Suite H Tulsa, OK 74133

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Depression is a mood disorder mainly characterized by persistently low mood and a feeling of sadness and loss of interest. Different forms of depression include postpartum depression, seasonal affective disorder, persistent depressive disorder, and psychotic depression.

For better reimbursement, the documentation of this condition should include episode (single or recurrent), severity (mild or severe) as well as clinical status (in partial or full remission). Outsourcing medical billing for this mental health specialty helps psychiatrists focus on patient care rather than on documentation tasks.

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Symptoms and Diagnosis Symptoms for depression can vary from mild to severe including feeling sad, loss of interest or pleasure in activities once enjoyed, disturbed sleeping or sleeping too much, feeling worthless or guilty and thoughts of death or suicide.

Patient Health Questionnaire (PHQ) is the most commonly used instrument for depression screening in the United States.

Depression Screening HCPCS/CPT Code G0444 – Annual depression screening, 15 minutes

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Places of Service (POS) should also be documented 11 – Office 22 – Outpatient hospital 49 – Independent clinic 71 – State or local public health clinic

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ICD-10 Codes for Depression F32 Major depressive disorder, single episode F33 Major depressive disorder, recurrent F03.90 Unspecified dementia without behavioral disturbance F34.1 Dysthymic disorder F43.21Adjustment disorder with depressed mood F06.31 – Mood disorder due to known physiological condition with depressive features F06.32 – Mood disorder due to known physiological condition with major depressive-like episode F25.1- Schizoaffective disorder, depressive type

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DEPRESSION TREATMENT Treatment options for depression include medications (antidepressants or other psychotropic medications), psychotherapy, cognitive behavioral therapy (CBT) or Electroconvulsive Therapy (ECT).

Commonly used CPT codes include: 90791 Psychiatric/psychological diagnostic interview without medical services (intake interview) 90792 Psychiatric diagnostic interview (for prescribers / medical services) 90834 Individual psychotherapy, 45 minutes 90837 Individual psychotherapy, 60 minutes 90847 Family psychotherapy with patient present To ease their documentation tasks and to submit clean claims for on-time reimbursement, hospitals can consider psychiatry medical coding services provided by an experienced medical billing company. www.outsourcestrategies.com 8596 E. 101st Street, Suite H Tulsa, OK 74133

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www.outsourcestrategies.com 8596 E. 101st Street, Suite H Tulsa, OK 74133

918-221-7769