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ICD-10 Guide
ICD-10 CodesF31.74

F31.74

Billable

Bipolar disorder, in full remission, most recent episode manic

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

Code Description

ICD-10 F31.74 is a billable code used to indicate a diagnosis of bipolar disorder, in full remission, most recent episode manic.

Key Diagnostic Point:

F31.74 refers to a specific diagnosis of bipolar disorder where the patient is currently in full remission following a manic episode. This means that the individual has experienced a manic episode in the past but is not currently exhibiting any symptoms of mania or depression. Bipolar disorder is characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The manic episodes can lead to significant impairment in social and occupational functioning, and the risk of suicide is notably higher during these episodes. In full remission, the patient may have returned to a stable mood state, and treatment often includes mood stabilizers, psychotherapy, and regular monitoring for any recurrence of symptoms. Accurate coding is essential for appropriate treatment planning and insurance reimbursement, as well as for tracking the effectiveness of interventions over time.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between full remission and other states of bipolar disorder.
  • Understanding the nuances of manic episodes and their impact on coding.
  • The need for comprehensive documentation to support the diagnosis.
  • Potential overlap with other mood disorders, requiring careful assessment.

Audit Risk Factors

  • Inadequate documentation of the patient's remission status.
  • Failure to document the history of manic episodes.
  • Misclassification of the current mood state.
  • Lack of follow-up notes indicating ongoing assessment.

Specialty Focus

Medical Specialties

Psychiatry

Documentation Requirements

Detailed psychiatric evaluations, history of mood episodes, treatment plans, and progress notes.

Common Clinical Scenarios

Patients presenting with mood instability, medication management, and therapy follow-ups.

Billing Considerations

Ensure clarity in documenting remission status and any ongoing treatment adjustments.

Primary Care

Documentation Requirements

Comprehensive patient history, mental health screenings, and referrals to specialists as needed.

Common Clinical Scenarios

Routine check-ups for patients with a history of bipolar disorder, monitoring for medication side effects.

Billing Considerations

Collaboration with mental health specialists for accurate diagnosis and treatment planning.

Coding Guidelines

Inclusion Criteria

Use F31.74 When
  • According to ICD
  • 10 guidelines, F31
  • 74 should be used when the patient has a documented history of manic episodes but is currently asymptomatic
  • Documentation must clearly indicate the patient's current mood state and any relevant treatment history

Exclusion Criteria

Do NOT use F31.74 When
  • Exclusion criteria include active manic or depressive episodes

Related ICD-10 Codes

Related CPT Codes

90834CPT Code

Psychotherapy, 45 minutes with patient

Clinical Scenario

Used during therapy sessions for patients in remission to maintain stability.

Documentation Requirements

Document the duration of the session and the focus of therapy.

Specialty Considerations

Psychiatrists should ensure that the therapy aligns with the patient's treatment plan.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, improving the ability to track patient outcomes and treatment efficacy. F31.74 provides a clear indication of remission status, which is crucial for treatment planning and insurance reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bipolar disorder, improving the ability to track patient outcomes and treatment efficacy. F31.74 provides a clear indication of remission status, which is crucial for treatment planning and insurance reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Coding & Billing References

  • •
    American Psychiatric Association - Diagnostic and Statistical Manual of Mental Disorders

Frequently Asked Questions

What does 'in full remission' mean in the context of bipolar disorder?

In full remission indicates that the patient is not currently experiencing any symptoms of mania or depression and has returned to a stable mood state following a manic episode.