ICD-10 Code F32.3 – Major depressive disorder, single episode, severe with psychotic features (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F32.3 – Major depressive disorder, single episode, severe with psychotic features
What it is
F32.3 identifies a single episode of major depressive disorder that is severe and includes psychotic features. Use it when documentation shows a major depressive episode with delusions, hallucinations, or other psychotic symptoms.
Clinical signs
Patients usually have marked depressive symptoms, such as low mood, loss of interest, impaired function, and severe distress. Psychotic features may be mood-congruent or mood-incongruent; clinical features vary, so refer to documentation.
When to use this code
Use F32.3 when the record clearly states a single depressive episode and specifies severe depression with psychotic features. It is appropriate for inpatient, outpatient, or emergency documentation when the diagnosis is confirmed by the clinician. Check documentation if the psychosis is not clearly tied to the depressive episode.
Do not use for
Do not use this code for recurrent major depressive disorder, bipolar disorder, or psychosis without depression. Do not assign it when the chart only says depression with hallucinations and does not confirm a major depressive episode.
Coding tip
Confirm both “single episode” and “psychotic features” in the provider note before coding F32.3.