ICD-10-CM F32.2
ICD-10 Code F32.2: Major depressive disorder, single episode, severe without psychotic features
F32.2 is the ICD-10-CM code for major depressive disorder, single episode, severe without psychotic features. When psychotic features are present the code is F32.3, and a recurrent severe episode is F33.2.
- Official description
- Major depressive disorder, single episode, severe without psychotic features
- Billable
- Yes
- Parent category
- F32 · Depressive episode
- DSM-5-TR name
- Major depressive disorder, single episode, severe
Verified against the FY2027 ICD-10-CM code set (CDC/NCHS and CMS), effective October 1, 2026 - September 30, 2027, on . Chapter 5: Mental, Behavioral and Neurodevelopmental disorders (F01-F99).
Coding notes for F32.2
- Severe without psychotic features - psychotic features move the code to F32.3
- Single episode only - recurrent severe episodes use F33.2
- Severe depression usually calls for a documented risk assessment and safety plan
What to document for medical necessity
Payers look for a record that supports the diagnosis and the level of care. For depressive disorders that usually means:
- The symptoms that support the diagnosis and how long they have been present
- The current severity (mild, moderate, severe) and how you arrived at it - a scored measure such as the PHQ-9 helps
- Whether this is a first episode or a recurrence, since that decides F32 versus F33
- Functional impairment at work, school, home, or in relationships
- Risk assessment, including suicidal ideation, at intake and when it changes
- Treatment plan goals tied to the depressive symptoms you are treating
CPT codes often billed with F32.2
The ICD-10 code says why you are treating the client and the CPT code says what you did. These are the service codes most often paired with F32.2:
Free templates for this diagnosis
Related ICD-10 codes
Frequently asked questions
What is the difference between F32.2 and F32.3?
Both are a severe single episode of major depressive disorder. F32.2 is without psychotic features and F32.3 is with psychotic features.
What should I document for F32.2?
The symptoms and severity that support a severe episode, the functional impairment, a risk assessment, and a treatment plan that matches the level of care. Severe codes draw more payer attention, so be specific.
This page is a coding reference, not clinical, diagnostic, billing, or legal advice. The diagnosis is the treating clinician's call, and payer rules vary - always confirm against the current ICD-10-CM code set and official guidelines and your payer's policy. See the full mental health ICD-10 code list.