ICD-10 Coding for Mood Affective Disorder(F31.1, F32.2)
Complete ICD-10-CM coding and documentation guide for Mood Affective Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mood Affective Disorder
F30-F39Primary Range
Mood [Affective] Disorders
This range includes all mood disorders such as bipolar disorder, major depressive disorder, and other specified mood disorders.
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, moderate | Use when the patient is experiencing a moderate manic episode without psychotic features. |
|
| F32.2 | Major depressive disorder, single episode, severe without psychotic features | Use when the patient has a severe depressive episode without 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 mood affective disorder
Essential facts and insights about Mood Affective Disorder
Primary ICD-10-CM Codes for mood affective disorder
Decision Criteria
clinical Criteria
- Manic episode lasting at least 7 days without psychotic features
Applicable To
- Bipolar I disorder, moderate
Excludes
- Bipolar II disorder (F31.81)
Clinical Validation Requirements
- Manic episode lasting at least 7 days
- No psychotic features present
Code-Specific Risks
- Ensure the absence of psychotic features is documented.
Coding Notes
- Ensure documentation specifies the severity and absence of psychotic features.
F32.2 - Major depressive disorder, single episode, severe without psychotic features
Use when the patient has a severe depressive episode without psychotic features.
Applicable To
- Severe major depression without psychosis
Excludes
- Major depressive disorder, recurrent (F33.-)
Clinical Validation Requirements
- Presence of ≥5 DSM-5 symptoms
- Functional impairment
Coding Notes
Ensure severity and absence of psychotic features are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
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 Mood Affective Disorder 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 denied claims.
Mitigation Strategy
Thorough psychiatric evaluation, Use of standardized assessment tools
Impact
Reimbursement: May result in lower reimbursement rates., Compliance: Increases risk of audit., Data Quality: Leads to poor data quality and inaccurate patient records.
Mitigation Strategy
Query provider for specific episode and severity details.
Impact
High audit risk when unspecified codes are used without justification.
Mitigation Strategy
Ensure detailed documentation of episode 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 Mood Affective Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mood Affective Disorder
Use these documentation templates to ensure complete and accurate documentation for Mood Affective Disorder. These templates include all required elements for proper coding and billing.
Documenting a severe depressive episode
Specialty: PsychiatryRequired Elements
- Mood assessment
- Affect description
- Functional impairment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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