ICD-10 Coding for Bipolar II Disorder(F31.81)
Complete ICD-10-CM coding and documentation guide for Bipolar II Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar II Disorder
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with F31.81 specifically for Bipolar II Disorder.
Key Information: ICD-10 code for Bipolar II Disorder
Essential facts and insights about Bipolar II Disorder
Primary ICD-10-CM Code for bipolar 2
Decision Criteria
clinical Criteria
- Presence of hypomanic and depressive episodes
coding Criteria
- Avoid using unspecified codes when specific episodes are documented
Applicable To
- At least one hypomanic episode
- At least one major depressive episode
Excludes
- Bipolar I disorder
- Major depressive disorder
Clinical Validation Requirements
- Documentation of at least one hypomanic episode
- Documentation of at least one major depressive episode
Code-Specific Risks
- Incorrectly coding as Bipolar I or unspecified mood disorder
Coding Notes
- Ensure documentation specifies episode types and severity.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of other mental and behavioral disorders
Z86.59Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bipolar II Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.81.
Impact
Clinical: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure documentation specifies hypomanic and depressive episodes to use F31.81.
Impact
Incomplete documentation of episodes can lead to audit issues.
Mitigation Strategy
Ensure all episodes are fully documented with duration and impact.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Bipolar II Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar II Disorder
Use these documentation templates to ensure complete and accurate documentation for Bipolar II Disorder. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation
Specialty: PsychiatryRequired Elements
- Current episode type
- Duration of episodes
- Functional impact
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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