F30.12
BillableManic episode without psychotic symptoms, moderate
HCC Category Mapping
V28HCC 154 — Bipolar Disorders
0.265V24HCC 59 — Major Depressive, Bipolar, and Paranoid Disorders
0.309ESRDHCC 59 — Major Depressive, Bipolar, and Paranoid Disorders
0.000RxHCCHCC 131 — Bipolar Disorders
0.000What This Code Means
A moderate manic episode where a person experiences elevated mood, increased energy, and racing thoughts without hallucinations or delusions, with noticeable functional impairment.
Coding Tips
- •Document specific functional impairments (work, social, or personal care disruption) to justify moderate severity
- •Distinguish from mild (F30.11) by noting the degree of occupational or social dysfunction
Clinical Significance
Manic episode without psychotic symptoms, moderate indicates a manic episode with noticeable functional impairment in occupational, social, or personal domains but without psychotic features. The patient exhibits clear manic symptoms that are disruptive to daily life. Moderate manic episodes often require medication adjustment and may necessitate closer monitoring or partial hospitalization. Accurate severity documentation supports appropriate treatment intensity and resource allocation.
Documentation Requirements
- ✓Documentation of manic symptoms lasting at least seven consecutive days
- ✓Provider assessment explicitly stating severity is 'moderate'
- ✓Description of specific functional impairments (occupational disruption, social difficulties, impaired judgment)
- ✓Confirmation that psychotic features are absent
- ✓Documentation of treatment intensity appropriate for moderate severity
- ✓Assessment of escalation risk and safety plan
Commonly Confused Codes
F30.11 — Manic episode, MILD has less functional impairmentF30.13 — Manic episode, SEVERE has more extensive impairment but still no psychotic featuresF30.2 — Manic episode WITH psychotic symptoms includes hallucinations or delusionsF31.12 — Bipolar disorder, current episode manic, moderate is used within an established bipolar patternF30.10 — Manic episode, unspecified severity should not be used when moderate severity is documented
Code Hierarchy
└F30Manic episode└F30.1Manic episode without psychotic symptoms└F30.12Manic episode without psychotic symptoms, moderate
└F30.12Manic episode without psychotic symptoms, moderate