Bipolar disorder, current episode mixed, severe, without psychotic features
ICD-10 F31.63 is a billable code used to indicate a diagnosis of bipolar disorder, current episode mixed, severe, without psychotic features.
Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The current episode mixed, severe, without psychotic features indicates that the patient is experiencing a combination of manic and depressive symptoms simultaneously, which can lead to significant impairment in daily functioning. Symptoms may include irritability, racing thoughts, decreased need for sleep, and feelings of hopelessness or worthlessness. The absence of psychotic features means that the patient does not exhibit delusions or hallucinations, which can complicate the clinical picture. This severe episode can increase the risk of self-harm or suicidal ideation, necessitating careful monitoring and intervention. Treatment typically involves mood stabilizers, antipsychotic medications, and psychotherapy to manage symptoms and reduce the risk of future episodes.
Comprehensive mental status examination, detailed history of mood episodes, and treatment response.
Initial diagnosis of bipolar disorder, management of acute mixed episodes, and ongoing treatment adjustments.
Ensure that all symptoms are documented clearly to support the diagnosis and treatment plan.
Basic mental health screening, referral notes to psychiatry, and follow-up on medication adherence.
Routine monitoring of patients with known bipolar disorder, managing comorbid conditions.
Collaboration with mental health specialists for comprehensive care.
Used in conjunction with F31.63 for ongoing therapy sessions.
Detailed notes on the patient's mood, symptoms, and treatment response.
Psychiatrists should document the therapeutic approach and patient engagement.
Key symptoms include simultaneous manic and depressive symptoms such as irritability, racing thoughts, insomnia, and feelings of hopelessness or worthlessness.
