ICD-10 Coding for Mood Swing(F31.9, F34.0, F43.22)
Complete ICD-10-CM coding and documentation guide for Mood Swing. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Mood Swing
F30-F39Primary Range
Mood [affective] disorders
This range includes various mood disorders, including bipolar disorder and cyclothymia, which are relevant to mood swings.
Reaction to severe stress, and adjustment disorders
Includes adjustment disorders with mood swings triggered by identifiable stressors.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F31.9 | Bipolar disorder, unspecified | Use when mood swings occur but specific episodes are not identified. |
|
| F34.0 | Cyclothymia | Use for chronic mood instability without full criteria for bipolar disorder. |
|
| F43.22 | Adjustment disorder with depressed mood | Use when mood swings are triggered by a specific stressor. |
|
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 swings
Essential facts and insights about Mood Swing
Primary ICD-10-CM Codes for mood swing
Decision Criteria
clinical Criteria
- Presence of mood swings with unspecified episodes.
Applicable To
- Mood swings with unspecified episodes
Excludes
- Cyclothymia (F34.0)
Clinical Validation Requirements
- Presence of mood swings with at least one manic or depressive episode
Code-Specific Risks
- Risk of under-documenting specific episodes leading to incorrect coding.
Coding Notes
- Ensure documentation specifies mood instability and any associated episodes.
F34.0 - Cyclothymia
Use for chronic mood instability without full criteria for bipolar disorder.
Applicable To
- Chronic mood instability
Excludes
- Bipolar disorder (F31.-)
Clinical Validation Requirements
- Chronic mood swings over a period of at least two years.
Coding Notes
Document chronicity and lack of full manic or depressive episodes.
F43.22 - Adjustment disorder with depressed mood
Use when mood swings are triggered by a specific stressor.
Applicable To
- Mood swings triggered by identifiable stressors
Excludes
- Major depressive disorder (F32.-)
Clinical Validation Requirements
- Identifiable stressor with mood swings occurring within three months.
Coding Notes
Ensure documentation includes the stressor and its impact.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Irritability and anger
R45.4Differential 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 Swing to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F31.9.
Impact
Clinical: Inadequate treatment planning., Regulatory: Potential audit issues., Financial: Denied claims due to insufficient documentation.
Mitigation Strategy
Use standardized assessment tools., Include frequency and severity in documentation.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F30.1 for mania without psychosis.
Impact
Lack of detailed mood assessment can trigger audits.
Mitigation Strategy
Ensure comprehensive documentation of mood swings and associated factors.
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 Swing, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Mood Swing
Use these documentation templates to ensure complete and accurate documentation for Mood Swing. These templates include all required elements for proper coding and billing.
Psychiatry Progress Note
Specialty: PsychiatryRequired Elements
- Mood description
- Affect
- PHQ-9 score
- YMRS score
- Identified stressors
- Treatment plan
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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