ICD-10 Coding for Manic Depressive Disorder(F31.0, F31.1)
Complete ICD-10-CM coding and documentation guide for Manic Depressive Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Manic Depressive Disorder
F31Primary Range
Bipolar disorder
This range covers all types of bipolar disorder, including manic, depressive, and mixed episodes.
Major depressive disorder, recurrent
Differential diagnosis for depressive episodes without a history of 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 |
|---|---|---|---|
| F31.0 | Bipolar disorder, current episode hypomanic | Use when the patient is currently experiencing a hypomanic episode. |
|
| F31.1 | Bipolar disorder, current episode manic without psychotic symptoms | 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 manic depressive disorder
Essential facts and insights about Manic Depressive Disorder
Primary ICD-10-CM Codes for manic depressive disorder
Decision Criteria
clinical Criteria
- Symptoms of hypomania present for at least 4 days
Applicable To
- Hypomanic episodes
Excludes
- Single manic episode (F30.-)
Clinical Validation Requirements
- Presence of hypomanic symptoms lasting at least 4 days
- No significant impairment in social or occupational functioning
Code-Specific Risks
- Misclassification with manic episodes
Coding Notes
- Ensure documentation specifies hypomanic symptoms and duration.
F31.1 - Bipolar disorder, current episode manic without psychotic symptoms
Use when the patient is experiencing a manic episode without psychotic symptoms.
Applicable To
- Manic episodes without psychosis
Excludes
- Single manic episode (F30.-)
Clinical Validation Requirements
- Presence of manic symptoms lasting at least 7 days
- No psychotic features
Coding Notes
Document the absence of psychotic symptoms 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 Manic Depressive 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: May lead to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terminology for mood episodes, Include DSM-5 criteria in documentation
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of clinical data.
Mitigation Strategy
Always document the specific type and severity of the episode.
Impact
High risk of audits due to lack of specificity in coding.
Mitigation Strategy
Ensure detailed documentation of episode type and severity.
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 Manic Depressive Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Manic Depressive Disorder
Use these documentation templates to ensure complete and accurate documentation for Manic Depressive Disorder. These templates include all required elements for proper coding and billing.
Bipolar I Disorder, Current Episode Manic
Specialty: PsychiatryRequired Elements
- History of present illness
- Current episode details
- Severity and psychosis status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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