ICD-10 Code for Melancholia

The default ICD-10-CM 2027 code for melancholia is F32.A – Depression, unspecified. More specific codes depend on the details documented, as listed in the official index (7 codes, 6 billable).

Main code: F32.A – Depression, unspecified
Billable: Yes

Index entries for Melancholia

climacteric (single episode) – F32.89
- recurrent episode – F33.8
hypochondriac – F45.29
intermittent (single episode) – F32.89
- recurrent episode – F33.8
involutional (single episode) – F32.89
- recurrent episode – F33.8
menopausal (single episode) – F32.89
- recurrent episode – F33.8
puerperal – F32.89
reactive (emotional stress or trauma) – F32.3
recurrent – F33.9
senile – F03 (header)
stuporous (single episode) – F32.89
- recurrent episode – F33.8

How to choose the right code

Start with the main term, then pick the indented subterm that matches the documentation (type, cause, site, laterality, episode of care). Always confirm the code in the tabular list: follow its Excludes1/Excludes2, “code first” and “use additional code” notes, and add a 7th character where required.

Source: CDC/NCHS ICD-10-CM FY2027 alphabetic index.