ICD-10 Coding for Bipolar Affective Disorder(F31.0, F31.1)
Complete ICD-10-CM coding and documentation guide for Bipolar Affective Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Affective Disorder
F31.0-F31.9Primary Range
Bipolar disorder codes covering various episodes and severities
This range includes all primary codes for bipolar affective disorder, detailing specific episodes and their characteristics.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.0 | Bipolar disorder, current episode hypomanic | Use when the patient is experiencing a hypomanic episode without a history of full manic episodes. |
|
| F31.1 | Bipolar disorder, current episode manic without psychotic features | Use when the patient is experiencing a manic episode without psychotic symptoms. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for bipolar affective disorder
Essential facts and insights about Bipolar Affective Disorder
Primary ICD-10-CM Codes for bipolar affective disorder
Decision Criteria
clinical Criteria
- Patient exhibits hypomanic symptoms without full manic episodes.
Applicable To
- Hypomanic episode
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Presence of hypomanic symptoms
- No full manic episodes
Code-Specific Risks
- Misclassification with manic episodes
Coding Notes
- Ensure documentation specifies hypomanic features.
F31.1 - Bipolar disorder, current episode manic without psychotic features
Use when the patient is experiencing a manic episode without psychotic symptoms.
Applicable To
- Manic episode without psychotic symptoms
Excludes
- Manic episode with psychotic symptoms (F31.2)
Clinical Validation Requirements
- Manic symptoms present
- No psychotic features
Coding Notes
Document absence of psychotic features clearly.
Differential 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 Affective Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.0.
Impact
Clinical: Inadequate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential reimbursement issues.
Mitigation Strategy
Use templates that prompt for severity details, Regular training on documentation standards
Impact
Reimbursement: Potential underpayment due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreased accuracy in patient records.
Mitigation Strategy
Use specific codes like F31.0 or F31.1 based on documented episode characteristics.
Impact
Audits may target records lacking specific episode details.
Mitigation Strategy
Implement detailed documentation templates and regular audits.
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 Affective Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Affective Disorder
Use these documentation templates to ensure complete and accurate documentation for Bipolar Affective Disorder. These templates include all required elements for proper coding and billing.
Documenting a manic episode without psychotic features
Specialty: PsychiatryRequired Elements
- Episode type
- Severity
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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