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Medical Disability Advisor  >  Depression Major  >  Return To Work

Depression, Major

Related Terms

  • Clinical Depression
  • Depressive Psychosis
  • Endogenous Depression
  • Major Depressive Disorder
  • Psychotic Depression
  • Unipolar Depression

Specialists

  • Clinical Psychologist
  • Psychiatrist

Comorbid Conditions

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Factors Influencing Duration

Length of disability may be influenced by the severity of the illness, the presence of complicating factors such as substance abuse or suicide attempts, response to therapy, and job requirements. Only in the most severe and unusual cases should major depression result in permanent disability.

Substance abuse will complicate treatment and may significantly delay returning to work. Suicide attempts that lead to hospitalization will also be associated with longer periods of disability.

Duration Trends from Reference Data

DURATION TRENDS
 ICD-9-CM: 296.2  
CasesMeanMinMaxNo Lost TimeOver 6 Months
117775902661.5%3.6%
 
  
 
Percentile:5th25thMedian75th95th
Days:6214381172
 
  
 

DURATION TRENDS
 ICD-9-CM: 296.3, 296.32, 296.33  
CasesMeanMinMaxNo Lost TimeOver 6 Months
90217403600.2%5.9%
 
  
 
Percentile:5th25thMedian75th95th
Days:13325998183
 
  
 

DURATION TRENDS
 ICD-9-CM: 311  
CasesMeanMinMaxNo Lost TimeOver 6 Months
229406503150.3%4.8%
 
  
 
Percentile:5th25thMedian75th95th
Days:11274888179
 
  
 

Differences may exist between the duration tables and the reference graphs. Duration tables provide expected recovery periods based on the type of work performed by the individual. The reference graphs reflect the actual experience of many individuals across the spectrum of physical conditions, in a variety of industries, and with varying levels of case management. Selected graphs combine multiple codes based on similar means and medians.

Medical Codes

ICD-9-CM:
296.2 - Major Depressive Disorder, Single Episode
296.20 - Major Depressive Disorder, Single Episode; Unspecified
296.21 - Major Depressive Disorder, Single Episode; Mild
296.22 - Major Depressive Disorder, Single Episode; Moderate
296.23 - Major Depressive Disorder, Single Episode; Severe, without Mention of Psychotic Behavior
296.24 - Major Depressive Disorder, Single Episode; Severe, Specified as with Psychotic Behavior
296.25 - Major Depressive Disorder, Single Episode; in Partial or Unspecified Remission
296.26 - Major Depressive Disorder, Single Episode; in Full Remission
296.3 - Major Depressive Disorder, Recurrent Episode
296.30 - Major Depressive Disorder, Recurrent Episode; Unspecified
296.31 - Major Depressive Disorder, Recurrent Episode; Mild
296.32 - Major Depressive Disorder, Recurrent Episode; Moderate
296.33 - Major Depressive Disorder, Recurrent Episode; Severe, without Mention of Psychotic Behavior
296.34 - Major Depressive Disorder, Recurrent Episode; Severe, Specified as with Psychotic Behavior
296.35 - Major Depressive Disorder, Recurrent Episode; in Partial or Unspecified Remission
296.36 - Major Depressive Disorder, Recurrent Episode; in Full Remission
311 - Depressive Disorder, Not Elsewhere Classified

Return to Work (Restrictions / Accommodations)

Temporary work accommodations may include the avoidance of stressful situations. Some or all of the following may be necessary: (1) reducing or eliminating activities where the safety of self or others is contingent upon a constant and/or high level of alertness, such as driving motor vehicles, operating complex machinery, or handling dangerous chemicals; (2) introducing the individual to new or stressful situations gradually under individually appropriate supervision; (3) allowing some flexibility in scheduling to attend therapy appointments (which normally should occur during employee's personal time); (4) promoting planned, proactive management of identified problem areas; and (5) offering timely feedback on job performance issues. It will be helpful if accommodations are documented in a written plan designed to promote timely and safe transition back to full work productivity. Daytime work hours may be necessary for a period of time.

Individual may require regular time off from work for psychotherapy appointments.

Source: Medical Disability Advisor






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