Bipolar disorder, current episode mixed
ICD-10 F31.6 is a billable code used to indicate a diagnosis of bipolar disorder, current episode mixed.
Bipolar disorder, current episode mixed (F31.6) is characterized by the presence of both manic and depressive symptoms occurring simultaneously or in rapid succession. This mixed episode can manifest as irritability, agitation, and mood swings, alongside feelings of hopelessness, fatigue, and suicidal ideation. Patients may experience racing thoughts, decreased need for sleep, and impulsive behavior typical of mania, while also exhibiting symptoms of depression such as low energy, lack of interest in activities, and difficulty concentrating. The mixed episode can complicate treatment, as mood stabilizers and antipsychotics may be required to manage the fluctuating symptoms effectively. The risk of suicide is notably higher during mixed episodes due to the combination of depressive and manic symptoms, necessitating thorough risk assessments and close monitoring. Accurate diagnosis and coding are crucial for appropriate treatment planning and resource allocation in managing this complex mood disorder.
Detailed notes on patient history, symptomatology, and treatment plans are essential.
Patients presenting with acute mood swings, suicidal ideation, or treatment-resistant symptoms.
Psychiatrists must document the specific nature of mixed episodes and any comorbid conditions.
Thorough assessment of mental health history and current symptoms.
Patients with undiagnosed bipolar disorder presenting with depressive symptoms or anxiety.
Primary care providers should be aware of the signs of mixed episodes to refer patients appropriately.
Used for follow-up visits for medication management in bipolar disorder.
Document the patient's mental status, treatment response, and any changes in symptoms.
Psychiatrists should ensure thorough documentation to support the complexity of the visit.
Key symptoms include simultaneous manic and depressive features such as irritability, racing thoughts, low energy, and feelings of hopelessness.
