ICD-10 Coding for Bipolar Disorder with Psychotic Features(F31.2, F31.5)
Complete ICD-10-CM coding and documentation guide for Bipolar Disorder with Psychotic 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 Psychotic Features
F30-F39Primary Range
Mood [affective] disorders
This range includes all mood disorders, with specific codes for bipolar disorder episodes with 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 |
|---|---|---|---|
| F31.2 | Bipolar disorder, current episode manic severe with psychotic features | Use when the patient is experiencing a severe manic episode with psychotic features. |
|
| F31.5 | Bipolar disorder, current episode depressed, severe, with psychotic features | Use when the patient is experiencing a severe depressive episode with 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 with psychotic features
Essential facts and insights about Bipolar Disorder with Psychotic Features
Primary ICD-10-CM Codes for bipolar disorder with psychotic features
Decision Criteria
clinical Criteria
- Presence of manic symptoms with mood-congruent psychotic features
Applicable To
- Severe manic episode with psychotic features
Excludes
- Schizoaffective disorder (F25.-)
Clinical Validation Requirements
- Presence of manic symptoms with psychotic features such as hallucinations or delusions
- Psychotic symptoms are mood-congruent
Code-Specific Risks
- Incorrectly coding as unspecified bipolar disorder when psychotic features are present
Coding Notes
- Ensure documentation specifies the severity and presence of psychotic features.
F31.5 - Bipolar disorder, current episode depressed, severe, with psychotic features
Use when the patient is experiencing a severe depressive episode with psychotic features.
Applicable To
- Severe depressive episode with psychotic features
Excludes
- Major depressive disorder, recurrent, with psychotic features (F33.3)
Clinical Validation Requirements
- Presence of depressive symptoms with psychotic features such as hallucinations or delusions
- Psychotic symptoms are mood-congruent
Coding Notes
Ensure documentation specifies the severity and presence of psychotic features.
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 Disorder with Psychotic Features to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.2.
Impact
Clinical: Inaccurate diagnosis and treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or incorrect reimbursement.
Mitigation Strategy
Use specific descriptors for psychotic symptoms., Ensure documentation aligns with ICD-10 requirements.
Impact
Reimbursement: May lead to incorrect reimbursement levels., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Decreases accuracy of patient records.
Mitigation Strategy
Ensure specific episode type and psychotic features are documented to use F31.2 or F31.5.
Impact
Inadequate documentation of psychotic features can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of psychotic symptoms and their relationship to mood episodes.
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 Psychotic Features, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Disorder with Psychotic Features
Use these documentation templates to ensure complete and accurate documentation for Bipolar Disorder with Psychotic Features. These templates include all required elements for proper coding and billing.
Bipolar Disorder with Manic Psychotic Features
Specialty: PsychiatryRequired Elements
- Mood description
- Psychotic symptoms
- Temporal relationship with mood episode
- Insight and judgment assessment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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