ICD-10 Coding for Bipolar Affective Disorder in Remission(F31.71, F31.76)
Complete ICD-10-CM coding and documentation guide for Bipolar Affective Disorder in Remission. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Affective Disorder in Remission
F31.7Primary Range
Bipolar disorder, in remission
This range includes codes for bipolar disorder in various states of remission, specifying the most recent episode type.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.71 | Bipolar disorder, in partial remission, most recent episode manic | Use when the patient is in partial remission with the last episode being manic. |
|
| F31.76 | Bipolar disorder, in full remission, most recent episode depressed | Use when the patient is in full remission with the last episode being depressed. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bipolar disorder in remission
Essential facts and insights about Bipolar Affective Disorder in Remission
Primary ICD-10-CM Codes for bipolar affective disorder in remission
Decision Criteria
clinical Criteria
- Patient exhibits partial remission symptoms with a recent manic episode.
Applicable To
- Partial remission of bipolar disorder with last manic episode
Excludes
- Major depressive disorder (F33.x)
Clinical Validation Requirements
- Documented partial remission with residual symptoms
- PHQ-9 score between 5-9
Code-Specific Risks
- Incorrectly documenting the episode type can lead to miscoding.
Coding Notes
- Ensure the documentation specifies the type of remission and the most recent episode type.
F31.76 - Bipolar disorder, in full remission, most recent episode depressed
Use when the patient is in full remission with the last episode being depressed.
Applicable To
- Full remission of bipolar disorder with last depressive episode
Excludes
- Major depressive disorder (F33.x)
Clinical Validation Requirements
- No mood symptoms for 12 months
- Functional recovery documented
Coding Notes
Ensure documentation includes the remission status and the type of the last episode.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bipolar Affective Disorder in Remission to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.71.
Impact
Clinical: Leads to less precise clinical data., Regulatory: May result in audit findings., Financial: Can affect reimbursement rates.
Mitigation Strategy
Always specify the remission status and last episode type., Use specific codes like F31.71 or F31.76.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Violates ICD-10 coding guidelines., Data Quality: Leads to inaccurate patient records.
Mitigation Strategy
Use only the bipolar disorder code as per Excludes1 note.
Impact
Failure to document remission status and last episode type can lead to audit issues.
Mitigation Strategy
Ensure all documentation includes specific remission status and episode type.
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 in Remission, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Affective Disorder in Remission
Use these documentation templates to ensure complete and accurate documentation for Bipolar Affective Disorder in Remission. These templates include all required elements for proper coding and billing.
Bipolar Disorder in Full Remission
Specialty: PsychiatryRequired Elements
- Remission status
- Most recent episode type
- PHQ-9 and YMRS scores
- Functional status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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