ICD-10 Code F32.2 – Major depressive disorder, single episode, severe without psychotic features (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F32.2 – Major depressive disorder, single episode, severe without psychotic features
What it is
F32.2 identifies a single episode of major depressive disorder that is severe and does not include psychotic features. Use it when documentation shows a major depressive episode with marked impairment, but no delusions or hallucinations.
Clinical signs
Clinical features commonly include depressed mood, loss of interest, low energy, and impaired concentration. Severe episodes may also involve profound functional decline, feelings of worthlessness, or suicidal thoughts; clinical features vary, refer to documentation.
When to use this code
Use this code when the record clearly documents one major depressive episode, its severe intensity, and absence of psychotic features. It fits outpatient or inpatient notes that support a major depressive disorder diagnosis and do not describe prior episodes.
If the clinician documents psychosis, recurrent episodes, or a different depressive disorder category, select another code. Check documentation for episode history, severity, and whether symptoms meet major depressive disorder criteria.
Do not use for
Do not use F32.2 for recurrent major depressive disorder, mild or moderate depression, or depression with psychotic features. Do not assign it when the record only says “depressed mood” without a confirmed major depressive episode.
Coding tip
Confirm both “single episode” and “severe without psychotic features” in the provider’s documentation before assigning F32.2.