Depressive symptoms
≥5 symptoms during the same two week period that are a change from previous functioning; depressed mood and/or loss of interest/pleasure must be present; exclude symptoms clearly attributable to another medical condition
Depressed mood
Most of the day, nearly every day; may be subjective (e.g. feels sad, empty, hopeless) or observed by others (e.g. appears tearful); in children and adolescents, can be irritable mood
Loss of interest/pleasure
Markedly diminished interest/pleasure in all (or almost all) activities most of the day, nearly every day; may be subjective or observed by others
Weight loss or gain
Significant weight loss (without dieting) or gain (change of >5% body weight in a month), or decrease or increase in appetite nearly every day; in children, may be failure to gain weight as expected
Insomnia or hypersomnia
Nearly every day
Psychomotor agitation or retardation
Nearly every day and observable by others (not merely subjectively restless or slow)
Fatigue
Or loss of energy, nearly every day
Feeling worthless or excessive/inappropriate guilt
Nearly every day; guilt may be delusional; not merely self reproach or guilt about being sick
Decreased concentration
Nearly every day; may be indecisiveness; may be subjective or observed by others
Thoughts of death/suicide
Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without specific plan, or suicide attempt, or a specific plan for suicide
Additional required criteria
Must have all 4, plus ≥5 depressive symptoms above
Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
Episode not attributable to physiological effects of a substance or another medical condition
Episode not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders
No history of manic or hypomanic episode
Exclusion does not apply if all manic-like or hypomanic-like episodes are substance-induced or are attributable to physiological effects of another medical condition
Diagnostic Result:
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Depressive disorders:
The term depression refers to a prolonged period of low mood and energy, feelings of sadness and possible dejection, as well as isolation at times. Depressive disorders are usually diagnosed when an individual’s low mood or depression is prolonged enough to interfere with an individual’s activities of daily living.
Depressive disorders usually affect individuals through disturbance of mood and energy which is frequently accompanied by symptoms of anxiety. The prevalence of depressive disorders is very high among the general population as well as in comparison to other mental health disorders.
Research and clinical experience has found that the prevalence of depression among the general population may be about 10% and is frequently the focus of clinical attention due to its high prevalence, and at times its severity. Depressive disorders can be very disabling. Also, in addition to the symptoms of depression, it is also believed that close to 50% of individuals diagnosed with anxiety disorders also meet the criteria for a depressive disorder. The specific depressive disorders follow below.
Specific Depressive Disorders and Related DSM-5 Diagnostic Codes ICD-9-CM and ICD-10-CM coeds repectively:
296.99 (F34.8) Disruptive Mood Dysregulation Disorder
Major Depressive Disorder: Single Episode
296.21 (F32.0) Mild
296.22 (F32.0) Moderate
296.23 (F32.2) Severe
296.24 (F32.0) With Psychotic Features
296.25 (32.4) In Partial Remission
296.26 (F32.5) In Full Remission
296.20 (F32.9) Unspecified
Major Depressive Disorder: Recurrent Episode
296.31 (F33.0) Mild
296.32 (F33.1) Moderate
296.33 (F33.2) Severe
296.34 (F33.3) With Psychotic Features
296.35 (F33.41) In Partial Remission
296.36 (F33.42) In Full Remission
296.30 (F33.9) Unspecified
300.4 (F34.1) Persistent Depressive Disorder (Dysthymia)
Specify if: In Partial Remission, In Full Remission
Specify if: Early Onset, Late Onset
Specify if: With Pure Dysthymic Syndrome; With Persistent Major Depressive Episode; With
Intermittent Major Depressive Episodes, With Current
Episode; With Intermittent Major Depressive Episodes, Without Current Episode.
Specify current severity: Mild, Moderate, Severe
625.4 (N94.3) Premenstrual Dysphoric Disorder
Substance /Medication – Induced Depressive Disorder
Note: See the criteria set and corresponding recording procedures
for substance-specific codes and ICD-9-CM and ICD-10-CM coding
Specify if: With onset during intoxication, With onset during withdrawal
293. 83 Depressive Disorder Due to Another Medical Condition
Specify if:
(F06.31) With depressive features
(F06.32) With major depressive-like
episode
(F06.34) With mixed features
311 (F32.8) Other specified depressive disorder
311 (F 32.9) Unspecified depressive disorder
311 (F32.8) Other Specified Depressive Disorder