Bipolar disorder, current episode mixed, unspecified
ICD-10 F31.60 is a billable code used to indicate a diagnosis of bipolar disorder, current episode mixed, unspecified.
Bipolar disorder is a mood disorder characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The current episode mixed, unspecified indicates that the patient is experiencing symptoms of both mania and depression simultaneously, but the specific details of the episode are not clearly defined. This can manifest as irritability, racing thoughts, and impulsive behavior alongside feelings of sadness, hopelessness, and fatigue. The mixed episode can be particularly challenging to manage due to the conflicting nature of the symptoms, which can lead to increased risk of self-harm or suicidal ideation. Treatment typically involves mood stabilizers, antipsychotic medications, and psychotherapy. Accurate diagnosis and coding are crucial for effective treatment planning and management, as well as for ensuring appropriate reimbursement for services rendered.
Detailed patient history, symptom assessment, treatment plan, and follow-up notes.
Initial diagnosis of bipolar disorder, management of mixed episodes, medication adjustments.
Ensure clear documentation of both manic and depressive symptoms to support the mixed episode diagnosis.
Comprehensive mental health screening, referral notes, and coordination of care with mental health specialists.
Routine screening for mood disorders, management of medication side effects, and referrals for psychiatric evaluation.
Primary care providers should be aware of the signs of mixed episodes to facilitate timely referrals.
Used for follow-up visits for medication management in bipolar disorder.
Document patient history, medication adherence, and symptom assessment.
Psychiatrists may require more detailed documentation of mental status examination.
Key symptoms include simultaneous experiences of manic symptoms such as increased energy and irritability, alongside depressive symptoms like sadness and hopelessness.
