F30.2

HCC Category Mapping

What This Code Means

A severe manic episode where a person experiences extreme elevated mood, increased energy, and racing thoughts, along with psychotic symptoms such as hallucinations or delusions. This is a serious mental health condition requiring immediate medical attention.

Coding Tips

• •Ensure documentation clearly specifies both the severity level (severe) and the presence of psychotic features before assigning this code
• •Do not use F30.2 if psychotic symptoms are absent; use F30.10 or F30.11 instead for manic episodes without psychosis

Clinical Significance

Manic episode, severe with psychotic symptoms represents the most severe form of mania, combining extreme manic symptoms with psychotic features such as grandiose delusions, paranoid delusions, or hallucinations. This is a psychiatric emergency requiring immediate inpatient hospitalization, antipsychotic medication, and close monitoring. The combination of severe mania and psychosis creates significant risk for self-harm, harm to others, and catastrophic decision-making.

Documentation Requirements

• ✓Documentation of severe manic symptoms lasting at least seven consecutive days
• ✓Description of specific psychotic features (type of delusions, type of hallucinations)
• ✓Assessment by a qualified psychiatrist
• ✓Documentation of inpatient level of care or justification for outpatient management
• ✓Safety assessment including danger to self and others
• ✓Medication regimen including both mood stabilizers and antipsychotics

Commonly Confused Codes