ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesF31.72

F31.72

Billable

Bipolar disorder, in full remission, most recent episode hypomanic

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

Code Description

ICD-10 F31.72 is a billable code used to indicate a diagnosis of bipolar disorder, in full remission, most recent episode hypomanic.

Key Diagnostic Point:

F31.72 refers to a specific diagnosis of bipolar disorder where the patient is currently in full remission following a hypomanic episode. Bipolar disorder is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). In this case, 'in full remission' indicates that the patient is not currently experiencing any significant symptoms of mania, hypomania, or depression. The most recent episode was hypomanic, which is a milder form of mania that does not cause significant impairment in social or occupational functioning. Patients in this state may exhibit increased energy, reduced need for sleep, and heightened creativity, but they do not experience the severe consequences associated with full-blown mania. Accurate coding is essential for treatment planning, monitoring, and insurance reimbursement, as it reflects the patient's current mental health status and guides appropriate therapeutic interventions.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of bipolar episodes (hypomanic vs. manic)
  • Understanding remission status and its implications for treatment
  • Recognizing the need for ongoing assessment of mood stability
  • Navigating the nuances of mood disorder classifications

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to specify the most recent episode type
  • Misclassification of mood episodes
  • Lack of ongoing assessment documentation

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Comprehensive mental status examination, history of mood episodes, treatment response, and current symptomatology.

Common Clinical Scenarios

Follow-up visits for medication management, assessment of mood stability, and therapy sessions.

Billing Considerations

Ensure that documentation reflects the patient's current state and any changes in treatment.

Primary Care

Documentation Requirements

History of mental health conditions, current medications, and any referrals to mental health specialists.

Common Clinical Scenarios

Routine check-ups, medication refills, and management of comorbid conditions.

Billing Considerations

Coordination with mental health providers for comprehensive care.

Coding Guidelines

Inclusion Criteria

Use F31.72 When
  • According to ICD
  • 10 guidelines, F31
  • 72 should be used when the patient has a documented history of bipolar disorder with the most recent episode being hypomanic and is currently in full remission
  • Documentation must support the absence of significant symptoms

Exclusion Criteria

Do NOT use F31.72 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

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

Documentation Requirements

Document the patient's current mood status, treatment adherence, and any changes in symptoms.

Specialty Considerations

Psychiatrists may require more detailed mental status examinations.

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 patient outcomes and treatment efficacy. F31.72 provides a clear indication of the patient's current state, which is crucial for ongoing management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, enabling better tracking of patient outcomes and treatment efficacy. F31.72 provides a clear indication of the patient's current state, which is crucial for ongoing management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, enabling better tracking of patient outcomes and treatment efficacy. F31.72 provides a clear indication of the patient's current state, which is crucial for ongoing management.

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 does 'in full remission' mean in the context of bipolar disorder?

In full remission indicates that the patient is not currently experiencing significant symptoms of mania, hypomania, or depression, and has maintained this status for a specified period.