F33.3

Major depressive disorder, recurrent, severe with psychotic symptoms

Risk-adjusting (HCC)Billable code

HCC risk adjustment mapping

CMS-HCC V28

HCC152

Psychosis, Except Schizophrenia

CMS-HCC ESRD V24

HCC59

Major Depressive, Bipolar, and Paranoid Disorders

RxHCC V08

RXHCC132

Depression

Coding notes

Excludes 1 never coded together · Excludes 2 may co-exist

This code · F33.3
Synonyms

Endogenous depression with psychotic symptoms Major depressive disorder, recurrent, with psychotic features Recurrent severe episodes of major depression with mood-congruent psychotic symptoms Recurrent severe episodes of major depression with mood-incongruent psychotic symptoms Recurrent severe episodes of major depression with psychotic symptoms Recurrent severe episodes of psychogenic depressive psychosis Recurrent severe episodes of psychotic depression Recurrent severe episodes of reactive depressive psychosis

Inherited from F33Major depressive disorder, recurrent
Includes

recurrent episodes of depressive reaction recurrent episodes of endogenous depression recurrent episodes of major depression recurrent episodes of psychogenic depression recurrent episodes of reactive depression recurrent episodes of seasonal affective disorder recurrent episodes of seasonal depressive disorder recurrent episodes of vital depression

Excludes 1

bipolar disorder (F31.-) manic episode (F30.-)

Inherited from chapter 5Mental, Behavioral and Neurodevelopmental disorders
Includes

disorders of psychological development

Excludes 2

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Official Guidelines for F33.3

FY 2026 ›