ICD-10 Coding for Manic Depression(F31.1x, F31.2, F31.5, F31.81)
Complete ICD-10-CM coding and documentation guide for Manic Depression. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Manic Depression
F30-F31Primary Range
Bipolar disorder and related conditions
This range includes all primary codes for bipolar disorder, including manic and depressive episodes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.1x | Bipolar disorder, current episode manic without psychotic features | Use when the patient presents with a manic episode without any psychotic symptoms. |
|
| F31.2 | Bipolar disorder, current episode manic with psychotic features | Use when the patient presents with a manic episode accompanied by psychotic symptoms. |
|
| F31.5 | Bipolar disorder, current episode severe depression with psychotic features | Use when the patient presents with a severe depressive episode accompanied by psychotic symptoms. |
|
| F31.81 | Bipolar II disorder | Use for patients with a history of hypomania and major depression but no full manic episodes. |
|
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 manic depression
Essential facts and insights about Manic Depression
Primary ICD-10-CM Codes for manic depression
Decision Criteria
clinical Criteria
- Patient exhibits manic symptoms without psychosis.
Applicable To
- Manic episode without psychosis
Excludes
- Bipolar disorder with psychotic features
Clinical Validation Requirements
- 7-day history of elevated mood
- Decreased need for sleep
- Racing thoughts
Code-Specific Risks
- Misclassification if psychotic features are present but not documented.
Coding Notes
- Ensure documentation specifies the absence of psychotic features.
F31.2 - Bipolar disorder, current episode manic with psychotic features
Use when the patient presents with a manic episode accompanied by psychotic symptoms.
Applicable To
- Manic episode with psychosis
Excludes
- Bipolar disorder without psychotic features
Clinical Validation Requirements
- Manic symptoms with hallucinations or delusions
Coding Notes
Document all psychotic features clearly to justify this code.
F31.5 - Bipolar disorder, current episode severe depression with psychotic features
Use when the patient presents with a severe depressive episode accompanied by psychotic symptoms.
Applicable To
- Severe depressive episode with psychosis
Excludes
- Depressive episode without psychotic features
Clinical Validation Requirements
- Severe depression with psychotic symptoms such as delusions
Coding Notes
Ensure documentation includes all psychotic features.
F31.81 - Bipolar II disorder
Use for patients with a history of hypomania and major depression but no full manic episodes.
Applicable To
- Hypomania and major depression
Excludes
- Bipolar I disorder
Clinical Validation Requirements
- History of hypomanic episodes
- Recurrent major depressive episodes
Coding Notes
Ensure documentation specifies hypomanic and depressive episodes.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Mood disorder due to known medical condition
F06.3Personal history of bipolar disorder in remission
Z86.59Mood disorder due to substance use
F06.33Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Bipolar disorder, current episode manic with psychotic features
F31.2Bipolar disorder, current episode manic without psychotic features
F31.1xBipolar disorder, current episode severe depression without psychotic features
F31.4Bipolar disorder, unspecified
F31.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Manic Depression to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.1x.
Impact
Clinical: Inaccurate clinical picture., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use checklists to ensure all symptoms are documented., Regular training on documentation standards.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit and non-compliance., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
Impact
High risk of audit when unspecified codes are used without justification.
Mitigation Strategy
Ensure detailed documentation to support specific code selection.
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 Manic Depression, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Manic Depression
Use these documentation templates to ensure complete and accurate documentation for Manic Depression. These templates include all required elements for proper coding and billing.
Bipolar Disorder Episode Documentation
Specialty: PsychiatryRequired Elements
- Mood episode type
- Duration and severity
- Presence of psychotic features
- Remission status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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