F30.3 maps to CMS-HCC V28 154. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

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Code lookupF30.3

Effective periodFY2026 Apr Update (Apr 1-Sep 30)

FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mood [affective] disorders (F30-F39)

F30.3

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Manic episode in partial remission

A manic episode that is improving or has mostly resolved, where the person still has some residual manic symptoms but is no longer in the acute phase.

Buddy Insight

Manic episode in partial remission indicates a patient whose acute manic symptoms are improving but have not fully resolved.

Overview Risk Models Code Book Documentation Audit Notes Edition comparison

CMS-HCC V28

Mapped

HCC 154

Bipolar Disorders without Psy...

Coefficient HCC 154: 0.351 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Not used for standard CY2026 Medicare Advantage payment. Select a historical period to review V24.

Not used for CY2026 payment

ACA/HHS

Context needed

HCC 088

Conditional HHS-HCC mapping: HCC 088 when age >= 2. Select the member context before showing a coefficient reference. Metal level and model segment are required for coefficients; no single RAF is shown.

Coefficient needs member context

ESRD/PACE

Context needed

HCC 59

ESRD candidates: HCC 59 when age >= 2 or age < 2. ESRD mapping is separate from PACE. Dialysis, graft, age, and other member context determine the applicable coefficient.

Coefficient needs member context

RXHCC

Mapped

HCC 131

Bipolar Disorders

Code-level coefficient reference

Code Book Path

Official

F30Manic episode F30.3Manic episode in partial remission

Inclusion Terms

Official

No inclusion terms are included in this display for F30.3. Check the code and parent instructions in the Code Book.

Excludes 2

Official

symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)Inherited from F01-F99

Related Codes

Official

F30.1Manic episode without psychotic symptoms F30.2Manic episode, severe with psychotic symptoms F30.4Manic episode in full remission F30.8Other manic episodes F30.9Manic episode, unspecified

Includes

Official

disorders of psychological developmentInherited from F01-F99, F30
bipolar disorder, single manic episodeInherited from F01-F99, F30
mixed affective episodeInherited from F01-F99, F30

Excludes 1

Official

bipolar disorder (F31.-)Inherited from F30
major depressive disorder, single episode (F32.-)Inherited from F30
major depressive disorder, recurrent (F33.-)Inherited from F30

Code First

Official

No Code First sequencing instructions are included in this display for F30.3. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for F30.3. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for F30.3. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance

Documentation of a prior manic episode meeting full diagnostic criteria

Assessment indicating improvement from the acute phase but persistence of some manic symptoms

Description of the specific residual symptoms present

Comparison to the acute manic presentation showing improvement

MEAT Support

HCC Buddy guidance

Documentation of a prior manic episode meeting full diagnostic criteria

Assessment indicating improvement from the acute phase but persistence of some manic symptoms

Description of the specific residual symptoms present

Comparison to the acute manic presentation showing improvement

Audit Caution

HCC Buddy guidance

Coding an active manic episode when symptoms have partially resolved (overestimating current severity)

Coding full remission (F30.4) when residual symptoms are still present

Not documenting the specific residual symptoms that justify partial rather than full remission

Using this code for a patient with an established bipolar disorder pattern rather than a standalone manic episode

Common Mistakes

HCC Buddy guidance

F30.4 — Manic episode in FULL remission means all symptoms have resolved; partial remission means some remain

F30.10-F30.13 — Active manic episodes at various severity levels should be used when full manic criteria are still met

F31.73 — Bipolar disorder, current episode in partial remission is used within an established bipolar pattern

F30.8 — Other manic episodes should not be used for the remission phase

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is F30.3 an HCC code?

Yes. F30.3 (Manic episode in partial remission) maps to HCC 154, Bipolar Disorders without Psychosis under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.351. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: F30.3 is billable and maps to V28 HCC 154, Bipolar Disorders without Psychosis. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code: F30.3
Description: Manic episode in partial remission
HCC (V28): HCC 154 — Bipolar Disorders without Psychosis
RAF reference coefficient: 0.351
Billable: Yes
Payment year: 2026

HCC Category Mapping

V28HCC 154, Bipolar Disorders without Psychosis

0.351

RxHCCHCC 131, Bipolar Disorders

Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work F30.3 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for F30.3

For F30.3, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
EEvaluate: test results, medication response, or physical findings reviewed by the provider
AAssess: explicit mention in the assessment or plan with acknowledgment of status
TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

F30.3 is the ICD-10-CM diagnosis code for manic episode in partial remission. A manic episode that is improving or has mostly resolved, where the person still has some residual manic symptoms but is no longer in the acute phase. F30.3 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mood [affective] disorders (f30-f39).

Under the CMS-HCC V28 risk adjustment model, F30.3 maps to Bipolar Disorders without Psychosis (HCC 154) with a source-labeled community, non-dual, aged reference coefficient of 0.351. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Document the timeline of symptom improvement and current functional status. For F30.3, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F30.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

•Document the timeline of symptom improvement and current functional status
•Clarify whether this is partial remission (some symptoms remain) versus full remission (F30.4)

Clinical Significance

Manic episode in partial remission indicates a patient whose acute manic symptoms are improving but have not fully resolved. Some residual manic features may persist, such as mildly elevated mood, slightly increased energy, or reduced sleep need, but the full manic syndrome is no longer present. This code is clinically important for tracking treatment response and recovery trajectory. Continued medication and monitoring are typically required during partial remission.

Documentation Requirements

✓Documentation of a prior manic episode meeting full diagnostic criteria
✓Assessment indicating improvement from the acute phase but persistence of some manic symptoms
✓Description of the specific residual symptoms present
✓Comparison to the acute manic presentation showing improvement
✓Current medication regimen and treatment response
✓Plan for continued monitoring and medication management

Commonly Confused Codes

•F30.4: Manic episode in FULL remission means all symptoms have resolved; partial remission means some remain
•F30.10-F30.13: Active manic episodes at various severity levels should be used when full manic criteria are still met
•F31.73: Bipolar disorder, current episode in partial remission is used within an established bipolar pattern
•F30.8: Other manic episodes should not be used for the remission phase
•F30.9: Manic episode, unspecified should not be used when the remission status is documented