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ICD-10 Guide
ICD-10 CodesF31.75

F31.75

Billable

Bipolar disorder, in partial remission, most recent episode depressed

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

Code Description

ICD-10 F31.75 is a billable code used to indicate a diagnosis of bipolar disorder, in partial remission, most recent episode depressed.

Key Diagnostic Point:

F31.75 refers to a specific diagnosis of bipolar disorder characterized by episodes of mood swings ranging from depressive lows to manic highs. In this case, the patient is experiencing a depressive episode but is considered to be in partial remission, indicating that while symptoms are present, they are not as severe as during a full episode. This condition requires careful monitoring and management, as individuals with bipolar disorder are at a heightened risk for suicide, particularly during depressive episodes. Treatment typically involves mood stabilizers, antipsychotics, and psychotherapy, with the goal of stabilizing mood and preventing future episodes. Accurate coding is essential for appropriate treatment planning and insurance reimbursement, as well as for tracking the effectiveness of interventions over time.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between full and partial remission
  • Identifying the most recent episode type (depressed)
  • Understanding the nuances of bipolar disorder classifications
  • Documenting the severity and duration of symptoms

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to specify the most recent episode type
  • Misclassification of the severity of depressive symptoms
  • Lack of comprehensive treatment plans in the medical record

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, treatment plans, and progress notes are essential.

Common Clinical Scenarios

Patients presenting with mood swings, suicidal ideation, or medication management issues.

Billing Considerations

Psychiatrists must ensure that all aspects of the patient's mental health history are documented to support the diagnosis.

Primary Care

Documentation Requirements

Thorough documentation of mental health screenings and referrals to specialists.

Common Clinical Scenarios

Patients with known bipolar disorder presenting for routine check-ups or medication refills.

Billing Considerations

Primary care providers should be aware of the signs of mood episodes and document any changes in the patient's condition.

Coding Guidelines

Inclusion Criteria

Use F31.75 When
  • According to ICD
  • 10 guidelines, F31
  • 75 should be used when the patient has a documented history of bipolar disorder and is currently experiencing a depressive episode with partial remission
  • Documentation must clearly indicate the patient's current mood state and any relevant treatment history

Exclusion Criteria

Do NOT use F31.75 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 bipolar disorder.

Documentation Requirements

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

Specialty Considerations

Psychiatrists may require more detailed notes on the patient's mental status examination.

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. F31.75 provides a clear indication of the patient's current state, which is crucial for effective 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. F31.75 provides a clear indication of the patient's current state, which is crucial for effective 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. F31.75 provides a clear indication of the patient's current state, which is crucial for effective management.

Resources

Clinical References

  • •
    American Psychiatric Association

Coding & Billing References

  • •
    American Psychiatric Association

Frequently Asked Questions

What does 'partial remission' mean in the context of bipolar disorder?

Partial remission indicates that the patient is experiencing some symptoms of depression but not to the extent that they meet the full criteria for a depressive episode. This status suggests that while the patient is not fully symptomatic, they still require ongoing treatment and monitoring.