ICD-10 Coding for Bipolar Mood Disorder(F31.9, F31.81)
Complete ICD-10-CM coding and documentation guide for Bipolar Mood Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Mood Disorder
F31Primary Range
Bipolar disorder
This range includes all types of bipolar disorder, specifying 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 |
|---|---|---|---|
| F31.9 | Bipolar disorder, unspecified | Use when the specific type of bipolar disorder is not documented. |
|
| F31.81 | Bipolar II disorder | Use for patients diagnosed with Bipolar II disorder. |
|
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 mood disorder
Essential facts and insights about Bipolar Mood Disorder
Primary ICD-10-CM Codes for bipolar mood disorder
Decision Criteria
documentation Criteria
- Lack of specific episode documentation
Clinical Validation Requirements
- Diagnosis of bipolar disorder without specific episode details
Code-Specific Risks
- Risk of undercoding if specific episode details are available.
Coding Notes
- Ensure to document any available episode details to avoid using unspecified codes.
F31.81 - Bipolar II disorder
Use for patients diagnosed with Bipolar II disorder.
Applicable To
- Bipolar disorder with hypomanic episodes
Excludes
- Cyclothymic disorder (F34.0)
Clinical Validation Requirements
- Presence of hypomanic episodes and depressive episodes
Coding Notes
Document hypomanic and depressive episodes clearly.
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 Mood Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.9.
Impact
Clinical: Inadequate treatment planning, Regulatory: Non-compliance with documentation standards, Financial: Potential for claim denials
Mitigation Strategy
Use standardized documentation templates, Regular training on documentation standards
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Document and code the specific episode type and severity.
Impact
Audits may target unspecified bipolar disorder codes.
Mitigation Strategy
Ensure documentation includes specific episode details.
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 Mood Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Mood Disorder
Use these documentation templates to ensure complete and accurate documentation for Bipolar Mood Disorder. These templates include all required elements for proper coding and billing.
Bipolar I Disorder, Current Episode Manic
Specialty: PsychiatryRequired Elements
- Episode type
- Severity
- Psychotic features
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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