ICD-10 Coding for Schizoaffective Disorder, Bipolar Type(F25.0)
Complete ICD-10-CM coding and documentation guide for Schizoaffective Disorder, Bipolar Type. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Schizoaffective Disorder, Bipolar Type
F25-F29Primary Range
Schizoaffective and Other Psychotic Disorders
This range includes all schizoaffective disorders, with F25.0 specifically for the bipolar type.
Key Information: ICD-10 code for schizoaffective disorder bipolar type
Essential facts and insights about Schizoaffective Disorder, Bipolar Type
Primary ICD-10-CM Code for schizoaffective disorder bipolar
Decision Criteria
clinical Criteria
- Presence of both manic and psychotic symptoms
documentation Criteria
- Documented duration of psychosis without mood symptoms
Applicable To
- Concurrent manic and psychotic symptoms
Clinical Validation Requirements
- Psychotic symptoms concurrent with manic episode
- ≥2 weeks of psychosis without mood symptoms
- Exclusion of substance-induced causes
Code-Specific Risks
- Incorrectly coding with F31.9 or F20.x
- Lack of documentation for psychosis duration
Coding Notes
- Ensure documentation clearly separates mood and psychotic symptoms, with dates.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other long term (current) drug therapy
Z79.899Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Schizoaffective Disorder, Bipolar Type to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F25.0.
Impact
Clinical: Inadequate treatment planning, Regulatory: Potential audit failures, Financial: Claim denials due to insufficient documentation
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use F25.0 alone if both mood and psychotic symptoms are present.
Impact
Failure to document psychosis duration can lead to audits.
Mitigation Strategy
Use templates to ensure all required elements are documented.
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 Schizoaffective Disorder, Bipolar Type, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Schizoaffective Disorder, Bipolar Type
Use these documentation templates to ensure complete and accurate documentation for Schizoaffective Disorder, Bipolar Type. These templates include all required elements for proper coding and billing.
Active Psychosis with Mania
Specialty: PsychiatryRequired Elements
- HPI detailing psychotic and manic symptoms
- MSE findings
- Treatment response
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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