Other bipolar disorder
ICD-10 F31.89 is a billable code used to indicate a diagnosis of other bipolar disorder.
Other bipolar disorder encompasses a range of mood disorders characterized by episodes of mania, hypomania, and depression that do not fit the criteria for the more commonly recognized bipolar I or II disorders. Patients may experience significant mood fluctuations that can lead to impaired functioning in social, occupational, or other important areas. Symptoms can include elevated mood, increased energy, decreased need for sleep, racing thoughts, and impulsive behavior during manic episodes, while depressive episodes may present with feelings of sadness, hopelessness, fatigue, and suicidal ideation. The diagnosis requires careful assessment to differentiate it from other mood disorders and to identify the specific nature of the bipolar symptoms. Treatment often involves mood stabilizers, antipsychotic medications, and psychotherapy, with a strong emphasis on monitoring for suicide risk, as individuals with bipolar disorder are at an increased risk for self-harm during both manic and depressive episodes. Accurate diagnosis and coding are crucial for effective treatment planning and resource allocation.
Comprehensive psychiatric evaluation, including history of mood episodes, family history, and risk assessments.
Initial diagnosis of bipolar disorder, management of acute manic or depressive episodes, and ongoing medication management.
Ensure clear documentation of the patient's mood history and any co-occurring disorders.
Detailed notes on patient history, mental status examinations, and any referrals to mental health specialists.
Screening for mood disorders during routine visits, managing medications, and coordinating care with mental health providers.
Primary care providers should be aware of the signs of bipolar disorder and document any observed mood changes.
Used for follow-up visits for medication management in patients diagnosed with other bipolar disorder.
Document the patient's mood status, treatment response, and any changes in medication.
Psychiatrists should ensure that the visit notes reflect the complexity of managing bipolar disorder.
F31.89 is used when a patient's symptoms do not meet the full criteria for bipolar I or II disorders, indicating a need for careful evaluation and documentation of mood episodes.
Accurate coding requires comprehensive documentation of the patient's mood history, treatment response, and any co-occurring conditions. Regular updates to the patient's status and treatment plan are essential.
