ICD-10 Coding for Mood Disorder(F31.12, F32.2)
Complete ICD-10-CM coding and documentation guide for Mood Disorder. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mood Disorder
F30-F39Primary Range
Mood [affective] disorders
This range includes all primary mood disorders, such as major depressive disorder and bipolar disorder.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.12 | Bipolar disorder, current episode manic, moderate | Use when a patient with bipolar I disorder is experiencing a current manic episode of moderate severity. |
|
| F32.2 | Major depressive disorder, single episode, severe without psychotic features | Use when a patient is experiencing a single episode of major depression with severe symptoms but no psychosis. |
|
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 disorder
Essential facts and insights about Mood Disorder
Primary ICD-10-CM Codes for mood disorder
Decision Criteria
clinical Criteria
- Presence of a manic episode lasting at least 7 days with moderate severity.
Applicable To
- Bipolar I disorder, current episode manic, moderate severity
Excludes
- Cyclothymic disorder (F34.0)
Clinical Validation Requirements
- Documented manic episode lasting at least 7 days
- Moderate severity with no psychotic features
Code-Specific Risks
- Ensure episode type and severity are documented to avoid unspecified coding.
Coding Notes
- Ensure to document the severity and presence of psychotic features clearly.
F32.2 - Major depressive disorder, single episode, severe without psychotic features
Use when a patient is experiencing a single episode of major depression with severe symptoms but no psychosis.
Applicable To
- Severe major depressive episode without psychotic symptoms
Excludes
- Recurrent depressive disorder (F33.-)
Clinical Validation Requirements
- Documented severe impairment in social or occupational functioning
- Presence of at least 5 symptoms of depression
Coding Notes
Ensure to document the severity and absence of psychotic features.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Alcohol dependence, uncomplicated
F10.20Differential 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 Disorder to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.12.
Impact
Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential for claim denials.
Mitigation Strategy
Always assess and document the presence or absence of psychotic features., Use checklists to ensure all symptoms are evaluated.
Impact
Reimbursement: May lead to claim denials or reduced reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases the accuracy of health records.
Mitigation Strategy
Always use the most specific code available based on documented details.
Impact
Audits often find insufficient documentation of episode type and severity.
Mitigation Strategy
Implement regular training on documentation standards and use of standardized tools.
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 Disorder, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mood Disorder
Use these documentation templates to ensure complete and accurate documentation for Mood Disorder. These templates include all required elements for proper coding and billing.
Psychiatric Evaluation for Mood Disorder
Specialty: PsychiatryRequired Elements
- Chief Complaint
- History of Present Illness
- Mental Status Examination
- Diagnosis
- Treatment Plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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