2026 ICD-10-CM Diagnosis Code F32.2Major depressive disorder, single episode, severe without psychotic features
ICD-10-CM Codes›F01–F99›F30-F39›F32
- Billable — Valid for Submission
- CC — Complication or Comorbidity
- Risk Adjusts — HCC 155
- Chronic Condition
F32.2 is a billable ICD-10-CM diagnosis code for major depressive disorder, single episode, severe without psychotic features. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 885. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 12 closely related codes. Coders also document this condition as severe major depression. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Depressive disorders.
For Medicare Advantage risk adjustment, F32.2 maps to CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis) under the V28 model, adding a risk factor of about 0.299 for a community, non-dual, aged beneficiary in payment year 2026.
Code Identity
Code Classification
Medicare Risk Adjustment (HCC)Billing
F32.2 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.
Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Severe major depression
- Severe major depression without psychotic features
- Severe major depression, single episode
- Severe major depression, single episode, without psychotic features
- Severe major depressive disorder co-occurrent with anxiety single episode
Index to Diseases and InjuriesGuidance
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Depression
Depression is more than a feeling of being sad or irritable for a few days. It's a serious mood disorder. As one of the most common mental disorders in the United States, depression can affect how you think, feel, and your everyday life.
The full article covers:
- What is depression?
- What are the different types of depression?
- What causes depression?
- Who is at risk of depression?
- What are the symptoms of depression?
- How is depression diagnosed?
- What are the treatments for depression?
- Can depression be prevented?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert F32.2 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About F32.2Overview
Is F32.2 (Depressive episode) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report major depressive disorder, single episode, severe without psychotic features on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does F32.2 group to?
When major depressive disorder, single episode, severe without psychotic features is the principal diagnosis on an inpatient stay, it groups to MS-DRG 885 (psychoses), which carries a relative weight of 1.3968. Higher weights mean higher Medicare reimbursement.
Is F32.2 a CC or MCC?
CMS lists F32.2 as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 12 closely related codes in its exclusion list.
What is the ICD-9 equivalent of F32.2?
Under the General Equivalence Mappings, major depressive disorder, single episode, severe without psychotic features converts to ICD-9-CM 296.23 (depress psychosis-severe). The mapping is a direct match.
What HCC is F32.2?
F32.2 (major depressive disorder, single episode, severe without psychotic features) maps to CMS-HCC Category 155 (Major Depression, Moderate or Severe, without Psychosis), commonly written as HCC 155, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 59 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. In the Part D prescription drug model it maps to RxHCC 132.
Does F32.2 risk-adjust for Medicare Advantage payment?
Yes. When documented and reported on a Medicare Advantage encounter, F32.2 adds a risk adjustment factor of about 0.299 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.108 to 0.316 depending on the payment segment). A more severe related category (HCC 151, HCC 152, HCC 153, and HCC 154) supersedes it when both are reported. See the full factor table on the HCC 155 category page.
