F32.3 vs F53
F32.3 (Major depressive disorder, single episode, severe with psychotic features) compared with F53 (Mental and behavioral disorders associated with the puerperium, not elsewhere classified), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. F53 carries an Excludes1 note covering F32.3: “mood disorders with psychotic features (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F32.3Major depressive disorder, single episode, severe with psychotic features | F53Mental and behavioral disorders associated with the puerperium, not elsewhere classified | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Major depressive disorder, single episode, severe with psychotic features is a billable ICD-10-CM diagnosis code (F32.3). | Mental and behavioral disorders associated with the puerperium, not elsewhere classified is a non-billable ICD-10-CM category code (F53). |
| Includes | single episode of agitated depression single episode of depressive reaction single episode of major depression single episode of psychogenic depression | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources