F30.13

HCC Category Mapping

What This Code Means

A severe manic episode where a person experiences extreme elevated mood, increased energy, and racing thoughts, but does not have psychotic symptoms like hallucinations or delusions. This is a serious mental health condition requiring immediate clinical attention.

Coding Tips

• •Ensure documentation clearly distinguishes between 'severe' manic episodes and other severity levels (mild/moderate) to support accurate code selection
• •Verify that psychotic features are absent; if hallucinations or delusions are present, use F30.2x codes instead

Clinical Significance

Manic episode, severe without psychotic symptoms represents the most intense non-psychotic manic episode with extensive functional impairment. The patient may show extreme grandiosity, reckless behavior, minimal sleep, marked agitation, and severely impaired judgment. These patients often require inpatient psychiatric hospitalization for safety. Despite the absence of psychotic features, this is a psychiatric emergency requiring immediate intervention.

Documentation Requirements

• ✓Documentation of manic symptoms lasting at least seven consecutive days
• ✓Provider assessment explicitly stating severity is 'severe'
• ✓Description of extensive functional impairment (inability to work, severely impaired relationships, dangerous behaviors)
• ✓Specific confirmation that psychotic features (hallucinations, delusions) are ABSENT
• ✓Level of care documentation (inpatient, intensive outpatient) appropriate for severe mania
• ✓Safety assessment including risk behaviors, need for containment, and treatment plan

Commonly Confused Codes