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v1.0.0
ICD-10 Guide
ICD-10 CodesF30.2

F30.2

Billable

Manic episode, severe with psychotic symptoms

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

Code Description

ICD-10 F30.2 is a billable code used to indicate a diagnosis of manic episode, severe with psychotic symptoms.

Key Diagnostic Point:

F30.2 refers to a severe manic episode characterized by an elevated mood, increased energy, and psychotic symptoms such as delusions or hallucinations. This condition is part of the bipolar disorder spectrum, where individuals experience extreme mood swings that can significantly impair their daily functioning. During a severe manic episode, patients may exhibit impulsive behavior, decreased need for sleep, and heightened distractibility. The presence of psychotic symptoms complicates the clinical picture, as it may lead to misinterpretation of reality, increasing the risk of harm to themselves or others. Treatment typically involves mood stabilizers, antipsychotic medications, and psychotherapy. Given the severity of symptoms, a comprehensive suicide risk assessment is crucial, as individuals may have suicidal ideation or engage in self-harming behaviors. Accurate diagnosis and coding are essential for appropriate treatment and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between manic episodes and other mood disorders
  • Identifying the presence of psychotic symptoms
  • Assessing the severity of the episode
  • Documenting the impact on daily functioning

Audit Risk Factors

  • Inadequate documentation of psychotic symptoms
  • Failure to perform a comprehensive suicide risk assessment
  • Misclassification of the severity of the episode
  • Lack of evidence for treatment decisions

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluation, including history of mood episodes and psychotic symptoms.

Common Clinical Scenarios

Patients presenting with acute mania, requiring hospitalization for stabilization.

Billing Considerations

Ensure documentation reflects the severity and impact on functioning, as well as treatment response.

Primary Care

Documentation Requirements

Comprehensive patient history and mental status examination.

Common Clinical Scenarios

Patients with a known history of bipolar disorder presenting with manic symptoms.

Billing Considerations

Coordination with mental health specialists for management and follow-up.

Coding Guidelines

Inclusion Criteria

Use F30.2 When
  • Follow ICD
  • CM guidelines for coding mental disorders, ensuring accurate documentation of symptoms, severity, and treatment
  • Include any relevant comorbidities and specify the presence of psychotic features

Exclusion Criteria

Do NOT use F30.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99223CPT Code

Initial hospital care, typically for severe manic episodes

Clinical Scenario

Used when a patient is admitted for acute management of manic symptoms.

Documentation Requirements

Comprehensive history and examination, including mental status.

Specialty Considerations

Psychiatric evaluation must be thorough to support the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of manic episodes, improving the accuracy of diagnoses and treatment plans. F30.2 provides a clear distinction for severe episodes with psychotic features, which is crucial for appropriate management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of manic episodes, improving the accuracy of diagnoses and treatment plans. F30.2 provides a clear distinction for severe episodes with psychotic features, which is crucial for appropriate management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

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 distinguishes F30.2 from other manic episode codes?

F30.2 specifically indicates a severe manic episode with psychotic symptoms, requiring more detailed documentation and assessment compared to other codes for manic episodes.