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v1.0.0
ICD-10 Guide
ICD-10 CodesF31.2

F31.2

Billable

Bipolar disorder, current episode manic severe with psychotic features

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F31.2 is a billable code used to indicate a diagnosis of bipolar disorder, current episode manic severe with psychotic features.

Key Diagnostic Point:

F31.2 refers to a severe manic episode in bipolar disorder characterized by elevated mood, increased energy, and psychotic features such as hallucinations or delusions. Patients may exhibit extreme irritability, grandiosity, and impulsive behavior, which can lead to significant impairment in social and occupational functioning. The presence of psychotic features indicates a more severe manifestation of the disorder, often requiring immediate intervention. Treatment typically involves mood stabilizers, antipsychotics, and psychotherapy. The risk of suicide is heightened during manic episodes, necessitating thorough risk assessments and safety planning. Accurate diagnosis and coding are crucial for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between manic episodes with and without psychotic features
  • Assessing severity of the episode for accurate coding
  • Understanding the impact of comorbid conditions on diagnosis
  • Navigating documentation requirements for psychotic features

Audit Risk Factors

  • Inadequate documentation of psychotic features
  • Failure to assess and document severity of the manic episode
  • Misclassification of the episode type
  • Lack of comprehensive treatment plans in the medical record

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, including mental status exams and risk assessments.

Common Clinical Scenarios

Patients presenting with acute manic episodes, requiring hospitalization or intensive outpatient treatment.

Billing Considerations

Documentation must clearly outline the presence of psychotic features and their impact on functioning.

Primary Care

Documentation Requirements

Thorough history and physical examination, including mental health screenings.

Common Clinical Scenarios

Patients with known bipolar disorder presenting with manic symptoms.

Billing Considerations

Coordination with mental health specialists for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F31.2 When
  • According to ICD
  • 10 guidelines, F31
  • 2 should be used when a patient is diagnosed with a current manic episode that is severe and includes psychotic features
  • Documentation must support the diagnosis, including evidence of mood elevation, increased activity, and psychotic symptoms

Exclusion Criteria

Do NOT use F31.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for medication management in bipolar disorder.

Documentation Requirements

Document mental status, treatment response, and any changes in symptoms.

Specialty Considerations

Psychiatrists may require more detailed documentation of psychiatric evaluations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, enabling better tracking of the condition's severity and associated features, which can improve treatment outcomes and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, enabling better tracking of the condition's severity and associated features, which can improve treatment outcomes and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Coding & Billing References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Frequently Asked Questions

What are the key symptoms of F31.2?

Key symptoms include elevated mood, increased energy, irritability, grandiosity, and psychotic features such as hallucinations or delusions.