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ICD-10 Guide
ICD-10 CodesF31.76

F31.76

Billable

Bipolar disorder, in full remission, most recent episode depressed

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

Code Description

ICD-10 F31.76 is a billable code used to indicate a diagnosis of bipolar disorder, in full remission, most recent episode depressed.

Key Diagnostic Point:

F31.76 refers to a specific diagnosis of bipolar disorder where the patient is currently in full remission, meaning they do not exhibit any symptoms of the disorder at the present time. However, the most recent episode experienced by the patient was a depressive episode. Bipolar disorder is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). In this case, the patient has transitioned from a depressive episode to a state of remission, indicating that they are not currently experiencing any mood disturbances. This diagnosis is crucial for treatment planning, as it informs healthcare providers that the patient may require ongoing monitoring for potential mood changes and may benefit from mood stabilizers or other psychiatric medications to maintain their remission status. Additionally, understanding the patient's history of depressive episodes is vital for assessing suicide risk, as individuals with a history of bipolar disorder may have an increased risk of suicidal ideation or attempts, particularly during depressive phases.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between full remission and active episodes
  • Understanding the nuances of bipolar disorder classifications
  • Assessing the patient's history for accurate coding
  • Documenting the absence of symptoms effectively

Audit Risk Factors

  • Inadequate documentation of remission status
  • Failure to note the most recent episode type
  • Misclassification of the current mood state
  • Lack of comprehensive treatment history

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, treatment history, and symptom assessments.

Common Clinical Scenarios

Patients transitioning from depressive episodes to remission, ongoing management of mood stabilizers.

Billing Considerations

Regular assessments for mood changes and suicide risk are essential.

Primary Care

Documentation Requirements

Comprehensive health records including mental health screenings and follow-up notes.

Common Clinical Scenarios

Routine check-ups for patients with a history of bipolar disorder.

Billing Considerations

Coordination with mental health specialists for holistic care.

Coding Guidelines

Inclusion Criteria

Use F31.76 When
  • According to ICD
  • 10 guidelines, F31
  • 76 should be used when the patient has a documented history of bipolar disorder with the most recent episode being depressive, and they are currently in full remission
  • Documentation must clearly indicate the absence of current symptoms

Exclusion Criteria

Do NOT use F31.76 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used during follow-up visits for patients with bipolar disorder in remission.

Documentation Requirements

Document the patient's mental health status, treatment adherence, and any changes in medication.

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. F31.76 provides clarity on the patient's current status, which is essential 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. F31.76 provides clarity on the patient's current status, which is essential 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. F31.76 provides clarity on the patient's current status, which is essential for effective 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 currently not experiencing any symptoms of bipolar disorder, despite having a history of episodes. This status is important for treatment planning and monitoring.