F32.3 is the authoritative medical code for Major depressive disorder, single episode, severe with psychotic features. This classification is used in medical billing and clinical recording to specify the clinical criteria for major depressive disorder, single episode, severe with psychotic features (ICD-10-CM F32.3), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Major depressive disorder, single episode, severe with psychotic features is a billable ICD-10-CM diagnosis code F32.3. Includes: single episode of agitated depression; single episode of depressive reaction; single episode of major depression; single episode of psychogenic depression; single episode of reactive depression; single episode of vital depression. Inclusion terms: Single episode of major depression with mood-congruent psychotic symptoms; Single episode of major depression with mood-incongruent psychotic symptoms; Single episode of major depression with psychotic symptoms; Single episode of psychogenic depressive psychosis; Single episode of psychotic depression; Single episode of reactive depressive psychosis. Excludes1 (not coded here): bipolar disorder F31.-; manic episode F30.-; recurrent depressive disorder F33.-. Excludes2 (not included here): adjustment disorder F43.2.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for F32.3 in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- single episode of agitated depression
- single episode of depressive reaction
- single episode of major depression
- single episode of psychogenic depression
- single episode of reactive depression
- single episode of vital depression
Inclusion Terms
Alternative terms the tabular list files under this code.
- Single episode of major depression with mood-congruent psychotic symptoms
- Single episode of major depression with mood-incongruent psychotic symptoms
- Single episode of major depression with psychotic symptoms
- Single episode of psychogenic depressive psychosis
- Single episode of psychotic depression
- Single episode of reactive depressive psychosis
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- bipolar disorder F31.-
- manic episode F30.-
- recurrent depressive disorder F33.-
Excludes2 — Not Included Here
Conditions not covered by this code, but which may be reported alongside it when both are present.
- adjustment disorder F43.2
Frequently Asked Questions (FAQ) & Clinical Guidance
What can't be coded together with F32.3?
Per Excludes1 instructions, F32.3 must not be reported with: bipolar disorder (F31.-); manic episode (F30.-); recurrent depressive disorder (F33.-).
Can F32.3 be reported alongside related conditions?
Per Excludes2 instructions, F32.3 and the following may both be reported when both are present: adjustment disorder (F43.2).
What conditions are included under F32.3?
Major depressive disorder, single episode, severe with psychotic features includes: Single episode of major depression with mood-congruent psychotic symptoms; Single episode of major depression with mood-incongruent psychotic symptoms; Single episode of major depression with psychotic symptoms; Single episode of psychogenic depressive psychosis; Single episode of psychotic depression.
Codes in This Family (11)
Official ICD-10-CM classifications in the same code family as F32.3, with their registry titles.
- F32 — Depressive episode
- F32.0 — Major depressive disorder, single episode, mild
- F32.1 — Major depressive disorder, single episode, moderate
- F32.2 — Major depressive disorder, single episode, severe without psychotic features
- F32.4 — Major depressive disorder, single episode, in partial remission
- F32.5 — Major depressive disorder, single episode, in full remission
- F32.8 — Other depressive episodes
- F32.81 — Premenstrual dysphoric disorder
- F32.89 — Other specified depressive episodes
- F32.9 — Major depressive disorder, single episode, unspecified
- F32.A — Depression, unspecified
Indexed Clinical Terms (10)
Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code.
- Depression (acute) (mental), major, with psychotic symptoms
- Depression (acute) (mental), psychotic (single episode)
- Depression (acute) (mental), reactive (psychogenic) (single episode), psychotic (single episode)
- Disorder (of), depressive, major, single episode, severe (without psychotic symptoms), with psychotic symptoms
- Disorder (of), depressive, major, with psychotic symptoms
- Episode, depressive, major, severe (without psychotic symptoms), with psychotic symptoms
- Melancholia, reactive (emotional stress or trauma)
- Psychosis, psychotic, psychogenic (paranoid), depressive
- Psychosis, psychotic, reactive (brief) (transient) (emotional stress) (psychological trauma), depressive
- Reaction, depressive (single episode), psychotic
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code F31.3
Bipolar disorder, current episode depressed, mild or moderate severity
ICD Code F33.3
Major depressive disorder, recurrent, severe with psychotic symptoms