F32.3Severe depressive episode with psychotic symptoms
Code usage status
Primary diagnosis
May be used as the primary diagnosis
Apply only when it matches the confirmed diagnosis and the documented clinical record.
Specificity
Complete code in the classification
Use when the diagnosis matches and no exclusion applies.
- Chapter V
- Mental and behavioural disorders
- Group F30-F39
- Mood [affective] disorders
- Official Vietnamese name
- Giai đoạn trầm cảm nặng kèm triệu chứng loạn thần
- Additional WHO coding guidance
- An episode of depression as described in F32.2, but with the presence of hallucinations, delusions, psychomotor retardation, or stupor so severe that ordinary social activities are impossible; there may be danger to life from suicide, dehydration, or starvation. The hallucinations and delusions may or may not be mood- congruent. Single episodes of: major depression with psychotic symptoms psychogenic depressive psychosis psychotic depression reactive depressive psychosis
Related F32 codes
F32
Depressive episode
F32.0
Primary diagnosis candidate
Mild depressive episode
F32.1
Primary diagnosis candidate
Moderate depressive episode
F32.2
Primary diagnosis candidate
Severe depressive episode without psychotic symptoms
F32.8
Primary diagnosis candidate
Other depressive episodes
F32.9
Primary diagnosis candidate
Depressive episode, unspecified
Clinical record checklist
View coding guide →- Confirm that the code matches the final documented diagnosis.
- Use one primary-diagnosis code and record only relevant additional conditions.
- Review Ministry indicators, inclusions, exclusions and notes.
- Do not infer a diagnosis beyond the clinical record.
2026 regulatory basis
Indicators are taken from columns 24–29 of the classification accompanying Circular 06/2026/TT-BYT, cross-referenced with Decision 1849/QĐ-BYT and Official Dispatch 4059/BYT-BH.
