Bipolar disorder
Chapter 5:Mental, Behavioral and Neurodevelopmental disorders
ICD-10 F31 is a billable code used to indicate a diagnosis of bipolar disorder.
Bipolar disorder is a mental health condition characterized by significant mood swings, including emotional highs (mania or hypomania) and lows (depression). These mood episodes can affect sleep, energy, activity, judgment, behavior, and the ability to think clearly. The disorder is classified into several types, including Bipolar I, Bipolar II, and Cyclothymic Disorder, each defined by the severity and duration of mood episodes. Individuals with bipolar disorder may experience periods of mania, which can lead to impulsive behavior, and depressive episodes, which can result in feelings of hopelessness and suicidal ideation. The condition often requires long-term management, including mood stabilizers, psychotherapy, and lifestyle changes. Due to the complexity of mood disorders, accurate diagnosis and coding are crucial for effective treatment and reimbursement. The risk of suicide is notably higher in individuals with bipolar disorder, necessitating thorough risk assessments and monitoring during treatment.
Detailed history of mood episodes, treatment response, and risk assessments.
Initial diagnosis, medication management, and crisis intervention.
Ensure comprehensive documentation of both manic and depressive episodes for accurate coding.
Regular monitoring of mood symptoms and medication adherence.
Management of comorbid conditions and referrals to mental health specialists.
Documenting the impact of bipolar disorder on overall health and functioning.
Used during outpatient visits for managing bipolar disorder.
Document the duration of the session and the focus of therapy.
Psychiatrists should ensure that therapy goals align with the treatment plan.
Bipolar I disorder is characterized by at least one manic episode, while Bipolar II disorder involves at least one major depressive episode and at least one hypomanic episode, but no full manic episodes.
