ICD-10 Coding for Bipolar Manic Depression(F31.1, F31.2)
Complete ICD-10-CM coding and documentation guide for Bipolar Manic Depression. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Bipolar Manic Depression
F31Primary Range
Bipolar disorder
This range covers all types of bipolar disorder, including manic, depressive, and mixed episodes.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.1 | Bipolar disorder, current episode manic without psychotic features | Use when the patient is experiencing a manic episode without any psychotic features. |
|
| F31.2 | Bipolar disorder, current episode manic with psychotic features | Use when the patient is experiencing a manic 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 manic depression
Essential facts and insights about Bipolar Manic Depression
Primary ICD-10-CM Codes for bipolar manic depression
Decision Criteria
clinical Criteria
- Manic symptoms without psychosis
Applicable To
- Manic episode without psychosis
Excludes
- Bipolar disorder, current episode manic with psychotic features (F31.2)
Clinical Validation Requirements
- Pressured speech
- Grandiose delusions
- 7-day insomnia
- Hyperactivity impairing work
Code-Specific Risks
- Risk of under-documenting severity if psychotic features are present but not recorded.
Coding Notes
- Ensure documentation specifies the absence of psychotic features.
F31.2 - Bipolar disorder, current episode manic with psychotic features
Use when the patient is experiencing a manic episode with psychotic features.
Applicable To
- Manic episode with psychosis
Excludes
- Bipolar disorder, current episode manic without psychotic features (F31.1)
Clinical Validation Requirements
- Auditory hallucinations
- Paranoia about surveillance
Coding Notes
Document specific psychotic symptoms present during the episode.
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 Manic Depression to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.1.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding guidelines., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always specify the current episode and its features.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of non-compliance with coding standards., Data Quality: Reduces the accuracy of patient records.
Mitigation Strategy
Query the provider for specific episode details to ensure accurate coding.
Impact
Failure to document psychotic features can lead to audit issues.
Mitigation Strategy
Ensure detailed documentation of any psychotic 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 Manic Depression, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Bipolar Manic Depression
Use these documentation templates to ensure complete and accurate documentation for Bipolar Manic Depression. These templates include all required elements for proper coding and billing.
Manic Episode with Psychosis
Specialty: PsychiatryRequired Elements
- Patient's mood and behavior
- Presence of psychotic symptoms
- Impact on daily functioning
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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