Official Disability Guidelines
DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED
(3-digit ICD9 311)

311  Depressive disorder, not elsewhere classified

Return-To-Work Summary Guidelines
Midrange: 24 days	At-Risk: 56 days

Return-To-Work "Best Practice" Guidelines Rule out impaired mood/personality disorder: 0 days Outpatient therapy, without symptoms affecting work or other job issues: 0-7 days Outpatient therapy, with symptoms interferring with work: 21 days Outpatient therapy, with serious job satisfaction issues: 28-42 days With hospitalization, non-cognitive/modified work: 28 days With hospitalization, cognitive work: 42-56 days

Capabilities & Activity Modifications for Restricted Work:
Avoid eliciting symptoms affecting work/other job issues:  Limit to low project responsibility and minimal supervision of others; avoid situations of conflict and stress; minimal interaction with the public; personal driving only; minimal handling of heavy machinery (if not limited by medication).
Non-cognitive/modified work: Limit to moderate project responsibility and moderate supervision of others; personal driving only; minimal handling of heavy machinery (if not limited by medication).
Description: An excessively long or intense period of deep sadness or extreme apathy.  Depression varies in length from recurring bouts of several hours to a sustained depression lasting two years or more, with recurring episodes throughout a lifetime, sometimes resulting in suicide.  Other symptoms may include irritability, poor concentration, decreased appetite, social withdrawal, and an inability to experience pleasure.
Other names: Depression
              Depressive disorder NOS
              Depressive state NOS
              Depression NOS
              Excludes:
              acute reaction to major stress with depressive symptoms (308.0)
              affective personality disorder (301.10-301.13)
              affective psychoses (296.0-296.9)
              brief depressive reaction (309.0)
              depressive states associated with stressful events (309.0-309.1)
              disturbance of emotions specific to childhood and adolescence, with misery and unhappiness (313.1)
              mixed adjustment reaction with depressive symptoms (309.4)
              neurotic depression (300.4)
              prolonged depressive adjustment reaction (309.1)
              psychogenic depressive psychosis (298.0)
ICD-10 Code: F32.9
ODG Treatment Guidelines: ODG/TWC Index
Other Links: Click below for detailed information on this condition:
American Psychiatric Association | Merck Manual | Merck Home Edition | FocusOnDepression.com | State Guidelines
Medical Costs: $5,464 (average of 52,000 cases)
CM Triage: Level 2 (case management), inflection point 20 days, algorithms 2A

Disability Duration Adjustment Factors by Age
Age Group	18-24	25-34	35-44	45-54	55-64	65-74
Adjustment Factor	0.58	0.91	0.95	1.19	1.38	1.66
At-Risk Days	32	51	53	67	77	93

RTW Claims Data (Calendar-days away from work by decile)
10%	20%	30%	40%	50%	60%	70%	80%	90%	100%	Mean
11	14	15	21	24	29	40	43	56	365	32.19

   CDC NCHS LOD (Length Of Disability, in days)*
   Median (mid-point)     14.0       Mean (average)        21.94
   Mode (most frequent)   2          Calculated rec.       13
                           Percent of Cases
                              (7173 cases)
                                                                      
 14.3                                                             13.7
                                                                      
                                                                      
                                                                      
       8.2            7.2                                             
                                                                      
            4.5  4.3            4.7            5.5                    
                                                                      
                           1.8       2.7  2.0                         
                                                    1.1  0.1  0.1     
  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
    3    6    9   12   15   18   21   24   27   30   33   36   39  40+
                       Range of Days (up to)
   *CDC NHIS cases with no lost workdays: 2148 (29.9%)

Impact on Total Absence: Prevalence 0.9968% of total lost workdays; Incidence 8.47 days per 100 workers

   NHDS LOS (Hospital Length Of Stay, in days)*
   Median (mid-point)     7.0        Mean (average)        10.33
   Mode (most frequent)   2          Calculated rec.       7
                           Percent of Cases
                              (222 cases)
                                                          
                                                      32.9
                                                          
                                                          
                                                          
                                                          
                                                          
               9.9                                        
          6.8       8.1  7.7                              
                              5.9  5.4  5.9       4.1     
                                             2.7          
          ___  ___  ___  ___  ___  ___  ___  ___  ___  ___
            1    2    3    4    5    6    7    8    9  10+
                               Days
   *NHDS cases with no overnight stay: 12 (5.4%)