ICD-10 Coding for Mania(F30.1, F30.2)
Complete ICD-10-CM coding and documentation guide for Mania. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mania
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F30.1 | Mania without psychotic symptoms | Use when the patient exhibits manic symptoms without psychotic features. |
|
| F30.2 | Mania with psychotic symptoms | Use when the patient exhibits manic symptoms 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 mania
Essential facts and insights about Mania
Primary ICD-10-CM Codes for mania
Decision Criteria
clinical Criteria
- Patient exhibits elevated mood and increased energy without delusions or hallucinations.
Applicable To
- Elevated mood
- Increased energy
Excludes
- Mania with psychotic symptoms
Clinical Validation Requirements
- Elevated mood lasting at least one week
- Increased energy or activity
Code-Specific Risks
- Misclassification if psychotic features are present
Coding Notes
- Ensure documentation specifies absence of psychotic features.
F30.2 - Mania with psychotic symptoms
Use when the patient exhibits manic symptoms with psychotic features.
Applicable To
- Delusions
- Hallucinations
Excludes
- Mania without psychotic symptoms
Clinical Validation Requirements
- Presence of delusions or hallucinations
- Elevated mood
Coding Notes
Ensure documentation specifies the presence of psychotic features.
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 Mania to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F30.1.
Impact
Clinical: Lack of specificity affects treatment planning., Regulatory: Potential for audit flags., Financial: May result in lower reimbursement rates.
Mitigation Strategy
Use specific codes, Ensure thorough documentation
Impact
Reimbursement: Incorrect sequencing can lead to denied claims., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Code the underlying condition first, followed by F06.30 for mood disorder due to known physiological condition.
Impact
High risk of audit when using codes like F30.9 without justification.
Mitigation Strategy
Use specific codes and ensure detailed documentation.
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 Mania, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mania
Use these documentation templates to ensure complete and accurate documentation for Mania. These templates include all required elements for proper coding and billing.
Manic episode in a psychiatric setting
Specialty: PsychiatryRequired Elements
- Mood description
- Energy levels
- Psychotic features
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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