ICD-10 Coding for Bipolar Disorder with Mixed Features(F31.60, F31.62, F31.64)
Complete ICD-10-CM coding and documentation guide for Bipolar Disorder with Mixed Features. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Disorder with Mixed Features
F31.6-F31.64Primary Range
Bipolar disorder, current episode mixed
This range covers the ICD-10 codes for bipolar disorder with mixed features, detailing the severity and presence of psychotic features.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.60 | Bipolar disorder, current episode mixed, unspecified | Use when the severity of the mixed episode is not specified. |
|
| F31.62 | Bipolar disorder, current episode mixed, moderate | Use for moderate mixed episodes with documented functional impairment. |
|
| F31.64 | Bipolar disorder, current episode mixed, severe, with psychotic features | Use when severe mixed episodes are accompanied by psychotic features. |
|
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 disorder mixed
Essential facts and insights about Bipolar Disorder with Mixed Features
Primary ICD-10-CM Codes for bipolar disorder mixed
Decision Criteria
documentation Criteria
- Lack of severity specification
Applicable To
- Mixed episode without specified severity
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Documentation of both manic and depressive symptoms
- Duration of symptoms lasting at least 7 days
Code-Specific Risks
- Risk of under-documentation leading to unspecified coding
Coding Notes
- Ensure documentation specifies the presence of both manic and depressive symptoms.
F31.62 - Bipolar disorder, current episode mixed, moderate
Use for moderate mixed episodes with documented functional impairment.
Applicable To
- Moderate mixed episode
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Presence of at least 3 manic and 3 depressive symptoms
- Moderate functional impairment
Coding Notes
Ensure documentation includes specific symptoms and functional impact.
F31.64 - Bipolar disorder, current episode mixed, severe, with psychotic features
Use when severe mixed episodes are accompanied by psychotic features.
Applicable To
- Severe mixed episode with psychotic features
Excludes
- Major depressive disorder (F32-F33)
Clinical Validation Requirements
- Severe symptoms with psychotic features such as hallucinations or delusions
- Significant functional impairment
Coding Notes
Document all psychotic symptoms clearly to justify the code.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Bipolar Disorder with Mixed Features to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.60.
Impact
Clinical: Inaccurate representation of patient's condition, Regulatory: Potential non-compliance with coding standards, Financial: Risk of claim denials or reduced reimbursement
Mitigation Strategy
Ensure severity is documented in clinical notes, Use specific ICD-10 codes
Impact
Reimbursement: Incorrect coding can lead to denied claims, Compliance: Non-compliance with ICD-10 coding guidelines, Data Quality: Inaccurate clinical data representation
Mitigation Strategy
Only code bipolar disorder as it takes precedence
Impact
Use of unspecified codes due to incomplete documentation
Mitigation Strategy
Ensure complete documentation of severity and symptoms
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 Disorder with Mixed Features, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Disorder with Mixed Features
Use these documentation templates to ensure complete and accurate documentation for Bipolar Disorder with Mixed Features. These templates include all required elements for proper coding and billing.
Moderate Mixed Episode
Specialty: PsychiatryRequired Elements
- Episode type
- Severity
- Functional impact
- Psychotic features
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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