F31.10
BillableBipolar disorder, current episode manic without psychotic features, unspecified
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
Bipolar disorder with a current manic episode that is not severe enough to include psychotic features, but the specific severity level (mild, moderate, or severe) is not documented.
Coding Tips
- •This unspecified code should be used only when severity cannot be determined from documentation
- •Review clinical notes for descriptions of functional impairment, sleep disruption, and behavioral changes to determine appropriate severity level
Clinical Significance
Bipolar disorder with current manic episode without psychotic features where severity is unspecified indicates an active manic state requiring close monitoring and typically medication adjustment. Full manic episodes carry substantial risks including impaired judgment, risky behavior, and potential need for hospitalization. This code captures significant psychiatric complexity for risk adjustment purposes.
Documentation Requirements
- ✓Confirmed diagnosis of bipolar disorder with documented history
- ✓Current manic episode symptoms described (elevated mood, grandiosity, decreased need for sleep, flight of ideas, increased activity)
- ✓Documentation that psychotic features are absent
- ✓Provider should ideally specify severity (mild, moderate, severe) — query if not documented
- ✓Current treatment regimen and any recent changes to medications
Commonly Confused Codes
F31.0 — Bipolar disorder, current episode hypomanic: Hypomania is a milder form that does not cause marked functional impairmentF31.2 — Bipolar disorder, current episode manic severe with psychotic features: Requires documented psychotic symptoms such as delusions or hallucinationsF31.11 — Same condition, mild severity: Use when provider specifically documents mild manic episodeF30.10 — Manic episode without psychotic features, unspecified: Use only for isolated manic episodes without bipolar history
Code Hierarchy
└F31Bipolar disorder└F31.1Bipolar disorder, current episode manic without psychotic features└F31.10Bipolar disorder, current episode manic without psychotic features, unspecified
└F31.10Bipolar disorder, current episode manic without psychotic features, unspecified