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ICD-10 Guide
ICD-10 CodesF30.11

F30.11

Billable

Manic episode without psychotic symptoms, mild

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

Code Description

ICD-10 F30.11 is a billable code used to indicate a diagnosis of manic episode without psychotic symptoms, mild.

Key Diagnostic Point:

F30.11 refers to a mild manic episode characterized by an elevated, expansive, or irritable mood lasting at least one week. During this period, individuals may exhibit increased energy, decreased need for sleep, racing thoughts, and heightened goal-directed activities. Unlike severe manic episodes, this condition does not include psychotic features such as hallucinations or delusions. Patients may experience mild impairment in social or occupational functioning, but they typically remain able to engage in daily activities. The diagnosis is crucial in the context of bipolar disorder, where mood episodes can fluctuate between mania and depression. Treatment often involves mood stabilizers, psychotherapy, and regular monitoring for suicide risk, as individuals with bipolar disorder are at an increased risk for self-harm during manic and depressive episodes. Accurate diagnosis and coding are essential for effective treatment planning and resource allocation.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between mild and severe manic episodes
  • Understanding the absence of psychotic symptoms
  • Assessing the impact on functioning
  • Recognizing comorbid conditions

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to note the duration of the episode
  • Lack of assessment for comorbid conditions
  • Insufficient detail on treatment plans

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed patient history, symptom assessment, and treatment plans.

Common Clinical Scenarios

Initial diagnosis of bipolar disorder, follow-up visits for medication management.

Billing Considerations

Documenting the absence of psychotic features and the impact on daily functioning.

Primary Care

Documentation Requirements

Comprehensive mental health screenings and referrals to specialists.

Common Clinical Scenarios

Routine evaluations of mood disorders, management of medications.

Billing Considerations

Recognizing signs of mania in patients with a history of mood disorders.

Coding Guidelines

Inclusion Criteria

Use F30.11 When
  • Follow the ICD
  • CM guidelines for mental health disorders, ensuring that the diagnosis is supported by clinical documentation
  • Include details on symptom duration and severity

Exclusion Criteria

Do NOT use F30.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used during therapy sessions for patients diagnosed with F30.11.

Documentation Requirements

Document the nature of the session, treatment goals, and patient progress.

Specialty Considerations

Psychiatrists should ensure that therapy aligns with the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of mood disorders, improving the accuracy of diagnoses and treatment plans. F30.11 provides a clear distinction between mild manic episodes and other mood disorders.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of mood disorders, improving the accuracy of diagnoses and treatment plans. F30.11 provides a clear distinction between mild manic episodes and other mood disorders.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of mood disorders, improving the accuracy of diagnoses and treatment plans. F30.11 provides a clear distinction between mild manic episodes and other mood disorders.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the key symptoms of a mild manic episode?

Key symptoms include elevated mood, increased energy, decreased need for sleep, and mild impairment in functioning without psychotic features.