Bipolar disorder, current episode mixed, severe, with psychotic features
ICD-10 F31.64 is a billable code used to indicate a diagnosis of bipolar disorder, current episode mixed, severe, with psychotic features.
F31.64 refers to a severe mixed episode of bipolar disorder characterized by the simultaneous presence of manic and depressive symptoms. This condition can manifest with significant mood instability, where the patient experiences both elevated and depressed moods concurrently. Psychotic features may include hallucinations or delusions, which can complicate the clinical picture and require careful management. Patients may exhibit extreme irritability, agitation, and impulsivity, alongside feelings of hopelessness or worthlessness. The presence of psychotic features necessitates a comprehensive treatment approach, often involving mood stabilizers, antipsychotics, and psychotherapy. The risk of suicide is notably elevated in this population, making thorough risk assessment and safety planning essential components of care. Accurate diagnosis and coding are critical for appropriate treatment and reimbursement, as well as for tracking the prevalence and outcomes of this serious mental health condition.
Detailed psychiatric evaluations, including mental status exams and risk assessments.
Patients presenting with acute manic and depressive symptoms, requiring hospitalization.
Documentation must clearly outline the presence of psychotic features and their impact on treatment.
Thorough history and physical examination, including mental health screenings.
Patients with known bipolar disorder presenting with acute mood changes.
Coordination with mental health specialists for comprehensive care.
Used for ongoing therapy sessions with patients diagnosed with F31.64.
Session notes must detail the therapeutic interventions and patient progress.
Psychiatrists should document the severity of symptoms and treatment response.
Key symptoms include simultaneous manic and depressive episodes, severe mood instability, and the presence of psychotic features such as hallucinations or delusions.
