ICD-10 Coding for Bipolar Disorder(F31.0, F31.1, F31.2, F31.9)
Complete ICD-10-CM coding and documentation guide for Bipolar Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Disorder
F31Primary Range
Bipolar disorder
This range includes all bipolar disorder codes, categorized by episode type 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 |
|---|---|---|---|
| F31.0 | Bipolar disorder, current episode hypomanic | Use when the patient is experiencing a hypomanic episode without psychotic features. |
|
| F31.1 | Bipolar disorder, current episode manic without psychotic features | Use when the patient is experiencing a manic episode without psychotic features. |
|
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features | Use when the patient is experiencing a severe manic episode with psychotic features. |
|
| F31.9 | Bipolar disorder, unspecified | Use when the specific episode type and severity are not documented. |
|
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
Essential facts and insights about Bipolar Disorder
Primary ICD-10-CM Codes for bipolar disorder
Decision Criteria
clinical Criteria
- Patient exhibits hypomanic symptoms without psychosis.
Applicable To
- Hypomanic episode
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Presence of hypomanic symptoms lasting at least 4 days
Code-Specific Risks
- Misclassification if psychotic features are present
Coding Notes
- Ensure documentation specifies hypomanic episode.
F31.1 - Bipolar disorder, current episode manic without psychotic features
Use when the patient is experiencing a manic episode without psychotic features.
Applicable To
- Manic episode without psychotic symptoms
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Manic symptoms lasting at least 7 days
Coding Notes
Ensure documentation specifies manic episode without psychosis.
F31.2 - Bipolar disorder, current episode manic severe with psychotic features
Use when the patient is experiencing a severe manic episode with psychotic features.
Applicable To
- Severe manic episode with psychotic symptoms
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Presence of manic symptoms with psychotic features
Coding Notes
Ensure documentation specifies psychotic features.
F31.9 - Bipolar disorder, unspecified
Use when the specific episode type and severity are not documented.
Applicable To
- Unspecified bipolar disorder
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Lack of specific episode documentation
Coding Notes
Encourage specific documentation to avoid unspecified coding.
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 to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.0.
Impact
Clinical: Inaccurate clinical representation, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Use detailed templates, Educate clinicians on documentation standards
Impact
Reimbursement: Potential lower reimbursement due to unspecified coding, Compliance: Increased audit risk, Data Quality: Decreased data accuracy and quality
Mitigation Strategy
Document specific episode type and severity to use specific codes.
Impact
Using unspecified codes increases audit risk.
Mitigation Strategy
Encourage detailed documentation and use of specific codes.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Disorder
Use these documentation templates to ensure complete and accurate documentation for Bipolar Disorder. These templates include all required elements for proper coding and billing.
Bipolar disorder with manic episode
Specialty: PsychiatryRequired Elements
- Episode type
- Severity
- Psychotic features
- Remission status
- Treatment history
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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