2027 ICD-10-CM Diagnosis Code F32.81Premenstrual dysphoric disorder

ICD-10-CM Codes›F01–F99›F30-F39›F32

ICD-10-CM F32.81
CMSSource: CMS FY 2027 ICD-10-CM dataset · Effective Oct 1, 2026 – Sep 30, 2027

F32.81 is a billable ICD-10-CM diagnosis code for premenstrual dysphoric disorder. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) and groups to MS-DRG 885. Coders also document this condition as minor depressive disorder. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Depressive disorders.

F32.81 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 132 for payment year 2027.

Code Identity

ICD-10-CM Code
F32.81
Billable Status
Yes — Valid for Submission
Code Describes
Premenstrual dysphoric disorder
Short Description
Premenstrual dysphoric disorder
Same as the full description in the CMS dataset.
Parent Code
F32.8
Other depressive episodes

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF30-F39Mood [affective] disorders
CategoryF32Depressive episode
This CodeF32.81Premenstrual dysphoric disorder

Medicare Risk Adjustment (HCC)Billing

F32.81 does not risk-adjust for Medicare Advantage under the CMS-HCC V28 model, but it maps to payment categories in the other CMS models shown below.

CMS-HCC V28 (Medicare Advantage Payment Model)
Not mapped
no payment category in the model that pays 100% of MA risk scores
Prior Model (CMS-HCC V24)
Not mapped under V24
this diagnosis newly risk-adjusts under the V28 model
Part D (RxHCC)
RxHCC 132 — Depression
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2027 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.

  • Minor depressive disorder
  • Premenstrual dysphoric disorder
  • Premenstrual dysphoric disorder in remission

Instructional NotesGuidance

Instructions from the official ICD-10-CM Tabular List that apply to F32.81: its own notes plus those printed at F32 and Chapter 5. A note printed at a category, block or chapter applies to every code under it.

Includes

Further defines, or gives examples of, the content of the category.

From F32 Depressive episode applies to 10 codes
  • single episode of agitated depression
  • single episode of depressive reaction
  • single episode of major depression
  • single episode of psychogenic depression
  • single episode of reactive depression
  • single episode of vital depression
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • disorders of psychological development

Excludes1

Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.

On F32.81 itself
  • premenstrual tension syndrome (N94.3)
From F32 Depressive episode applies to 10 codes
  • bipolar disorder (F31.-)
  • manic episode (F30.-)
  • recurrent depressive disorder (F33.-)

Excludes2

Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.

From F32 Depressive episode applies to 10 codes
  • adjustment disorder (F43.2)
From Chapter 5 (F01-F99) Mental and behavioural disorders applies to 872 codes
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)

Source: CMS ICD-10-CM Tabular List. How to read instructional notes.

Referenced in Other NotesGuidance

Instructional notes printed at other codes that name F32.81, its category, or a range that includes it.

Excludes1 4

These codes carry an Excludes1 note naming F32.81: they are not reported together with it, unless the two conditions are unrelated.

  • N94.3 Premenstrual tension syndrome
    Premenstrual dysphoric disorder (F32.81)
  • F30 Manic episode
    major depressive disorder, single episode (F32.-) names F32.-, which includes this code
  • F31 Bipolar disorder
    major depressive disorder, single episode (F32.-) names F32.-, which includes this code
  • R40.1 Stupor
    depressive stupor (F31.-, F32.-, F33.-) names F32.-, which includes this code

Excludes2 8

These codes carry an Excludes2 note naming F32.81: its condition is not part of those codes, and both may be reported when the patient has both.

  • F42 Obsessive-compulsive disorder
    obsessive-compulsive symptoms occurring in depression (F32.-, F33.-) names F32.-, which includes this code
  • F44.2 Dissociative stupor
    depressive stupor (F32, F33) names F32, which includes this code
  • F63.2 Kleptomania
    depressive disorder with stealing (F31.-, F32.-, F33.-) names F32.-, which includes this code
  • R53.83 Other fatigue
    exhaustion and fatigue due to depressive episode (F32.-) names F32.-, which includes this code
  • F06.3 Mood disorder due to known physiological condition
    mood disorders, not due to known physiological condition or unspecified (F30-F39) names F30-F39, which includes this code
  • F90 Attention-deficit hyperactivity disorders
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code
  • F91 Conduct disorders
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code
  • F93.0 Separation anxiety disorder of childhood
    mood [affective] disorders (F30-F39) names F30-F39, which includes this code

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD002
Depressive disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Premenstrual Dysphoric Disorder

    a condition in which a woman suffers from severe depression, irritability, and tension before menstruation. premenstrual dysphoric disorder (pmdd) may involve a wide range of physical or emotional symptoms, which are more severe and debilitating than those seen with premenstrual syndrome (pms), and which include at least one mood-related symptom. symptoms usually stop when, or shortly after, menstruation begins.

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 F32.81 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
625.4 Premenstrual tension
Approximate The match is approximate rather than exact.

Code History & ChangesHistory

Replacement F32.81 replaces the following previously assigned code(s):

  • F32.8 - Other depressive episodes
FY 2019AddedAdded to the ICD-10-CM code setEffective October 1, 2018.
FY 2020–2026No changes
FY 2027CurrentCurrent code set, no changesEffective October 1, 2026 through September 30, 2027.

Questions About F32.81Overview

What is the ICD-10 code for premenstrual dysphoric disorder?

The ICD-10-CM code for premenstrual dysphoric disorder is F32.81 (sometimes written as F3281). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

Is F32.81 (Other depressive episodes) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report premenstrual dysphoric disorder on HIPAA-covered claims from October 1, 2026 through September 30, 2027.

What MS-DRG does F32.81 group to?

When premenstrual dysphoric disorder is the principal diagnosis on an inpatient stay, it groups to MS-DRG 885 (psychoses), which carries a relative weight of 1.3904. Higher weights mean higher Medicare reimbursement.

Can F32.81 be reported with N94.3?

Not as a rule. The Excludes1 note on F32.81 lists "premenstrual tension syndrome (N94.3)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).

What is the ICD-9 equivalent of F32.81?

Under the General Equivalence Mappings, premenstrual dysphoric disorder converts to ICD-9-CM 625.4 (premenstrual tension). The mapping is approximate, so confirm the match fits the documentation.

Does F32.81 risk-adjust for Medicare Advantage payment?

Not for Medicare Advantage: F32.81 maps to no category in the CMS-HCC V28 model. It still risk-adjusts in the RxHCC Part D (V08) category 132 (Depression).