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ICD-10 Coding for Bipolar Affective Disorder, Currently Depressed, Moderate(F31.32)

Complete ICD-10-CM coding and documentation guide for Bipolar Affective Disorder, Currently Depressed, Moderate. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Bipolar Disorder, Depressive Episode, ModerateBipolar Depression, Moderate

Related ICD-10 Code Ranges

Complete code families applicable to Bipolar Affective Disorder, Currently Depressed, Moderate

F30-F39Primary Range

Mood [affective] disorders

This range includes all mood disorders, with F31.32 specifically addressing bipolar disorder with a current moderate depressive episode.

Key Information: ICD-10 code for bipolar disorder moderate depression

Essential facts and insights about Bipolar Affective Disorder, Currently Depressed, Moderate

The ICD-10 code for bipolar disorder, current episode depressed, moderate is F31.32. It requires documentation of moderate depressive symptoms and a history of manic episodes.

Primary ICD-10-CM Code for bipolar affective disorder currently depressed moderate

Bipolar disorder, current episode depressed, moderate
Billable Code

Decision Criteria

clinical Criteria

  • Patient meets DSM-5 criteria for moderate depressive episode.

documentation Criteria

  • Documented history of manic/hypomanic episodes.

Applicable To

  • Moderate depressive episode in bipolar disorder

Excludes

  • Major depressive disorder, recurrent (F33.-)

Clinical Validation Requirements

  • ≥5 depressive symptoms (DSM-5 criteria) lasting ≥2 weeks
  • Moderate functional impairment
  • No psychotic features
  • History of ≥1 manic/hypomanic episode

Code-Specific Risks

  • Incorrectly coding as major depressive disorder
  • Omitting history of manic/hypomanic episodes

Coding Notes

  • Ensure documentation specifies the severity and history of manic episodes.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Other specified depressive episodes

F32.89
Use for documenting specific symptoms like insomnia.

Suicidal ideation

R45.851
Use when documenting passive suicidal ideation without a plan.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Major depressive disorder, recurrent, moderate

F33.1
Use F33.1 if there is no history of manic or hypomanic episodes.

Bipolar disorder, current episode depressed, severe

F31.5
Use F31.5 if depressive symptoms are incapacitating.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Bipolar Affective Disorder, Currently Depressed, Moderate to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.32.

Impact

Clinical: Misdiagnosis as major depressive disorder., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.

Mitigation Strategy

Review patient history thoroughly., Ensure documentation includes manic episode history.

Impact

Reimbursement: May lead to claim denials due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.

Mitigation Strategy

Use F31.32 with specific documentation of severity and history.

Impact

Using unspecified codes increases audit risk.

Mitigation Strategy

Use specific codes like F31.32 with detailed documentation.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Bipolar Affective Disorder, Currently Depressed, Moderate, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Bipolar Affective Disorder, Currently Depressed, Moderate

Use these documentation templates to ensure complete and accurate documentation for Bipolar Affective Disorder, Currently Depressed, Moderate. These templates include all required elements for proper coding and billing.

Psychiatric Evaluation for Bipolar Disorder

Specialty: Psychiatry

Required Elements

  • Mood assessment
  • Symptom duration
  • Functional impairment
  • History of manic episodes

Example Documentation

**Mood**: Sustained depressed mood ×18 days **Symptoms**: Anhedonia (+), 5% weight loss (unintentional), Insomnia (latency >2 hrs), Fatigue (ADL impairment) **Function**: Missed 3/5 work days **PHQ-9**: 17 (moderate) **Mania History**: Hypomanic episode 6/2023 (4 days, elevated mood + risky investments) **Impression**: F31.32 - Bipolar disorder, current episode depressed, moderate

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient is depressed.
Good Documentation Example
Patient reports 3-week history of anhedonia, 8 lb weight loss, psychomotor retardation, and moderate work impairment (PHQ-9=17). History of manic episode in 2021 with 4 days of sleeplessness and reckless spending.
Explanation
The good example provides specific symptoms, duration, and history of manic episodes, meeting DSM-5 criteria.

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