ICD-10 Coding for Bipolar Disorder Type 1(F31.1, F31.2)
Complete ICD-10-CM coding and documentation guide for Bipolar Disorder Type 1. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Disorder Type 1
F31.0-F31.9Primary Range
Bipolar disorder
This range includes all codes related to bipolar disorder, specifying different episodes and severity.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.1 | Bipolar disorder, current episode manic without psychotic features | Use when the patient is experiencing a manic episode without any psychotic features. |
|
| F31.2 | Bipolar disorder, current episode manic with psychotic features | Use when the patient is experiencing a manic episode with psychotic features. |
|
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 type 1
Essential facts and insights about Bipolar Disorder Type 1
Primary ICD-10-CM Codes for bipolar disorder type 1
Decision Criteria
clinical Criteria
- Manic symptoms present without psychosis
Applicable To
- Manic episode without psychotic symptoms
Excludes
- Bipolar disorder, current episode manic with psychotic features (F31.2)
Clinical Validation Requirements
- Presence of manic symptoms for at least 7 days
- No psychotic features
Code-Specific Risks
- Misclassification if psychotic features are present
Coding Notes
- Ensure documentation specifies the absence of psychotic features.
F31.2 - Bipolar disorder, current episode manic with psychotic features
Use when the patient is experiencing a manic episode with psychotic features.
Applicable To
- Manic episode with psychotic symptoms
Excludes
- Bipolar disorder, current episode manic without psychotic features (F31.1)
Clinical Validation Requirements
- Presence of manic symptoms for at least 7 days
- Presence of psychotic features such as delusions or hallucinations
Coding Notes
Document specific psychotic features present during the manic 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 Disorder Type 1 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.1.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Thoroughly assess and document all symptoms., Use structured templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces the accuracy of clinical data.
Mitigation Strategy
Always document and code the specific episode type and severity.
Impact
Unspecified codes can trigger audits due to lack of detail.
Mitigation Strategy
Ensure detailed documentation of episode type and severity.
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 Disorder Type 1, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Disorder Type 1
Use these documentation templates to ensure complete and accurate documentation for Bipolar Disorder Type 1. These templates include all required elements for proper coding and billing.
Manic episode documentation
Specialty: PsychiatryRequired Elements
- Mood description
- Sleep pattern
- Behavioral changes
- Presence or absence of psychotic features
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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