F31.12
BillableBipolar disorder, current episode manic without psychotic features, 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
Bipolar disorder with a current moderate manic episode without psychotic features, where the person experiences significant elevated mood and increased activity with notable functional impairment.
Coding Tips
- •Moderate severity indicates clear functional impairment in work, school, or social relationships
- •Document the degree of impairment and specific manic symptoms to support this severity level
Clinical Significance
Bipolar disorder with current moderate manic episode without psychotic features represents a clinically significant active manic state with notable functional impairment. Moderate mania typically involves observable behavioral changes, impaired judgment, and often requires medication adjustment or increased monitoring. This level of severity indicates meaningful healthcare resource utilization.
Documentation Requirements
- ✓Documented bipolar disorder diagnosis
- ✓Current manic symptoms explicitly described as moderate severity
- ✓Absence of psychotic features documented
- ✓Evidence of functional impairment in social or occupational domains
- ✓Treatment plan addressing the current episode including medication management
Commonly Confused Codes
F31.11 — Bipolar disorder, current episode manic, mild: Less functional impairment than moderateF31.13 — Bipolar disorder, current episode manic, severe: Requires more profound impairment without psychotic featuresF31.62 — Bipolar disorder, current episode mixed, moderate: Use when concurrent depressive symptoms are present alongside maniaF31.2 — Bipolar disorder, current episode manic severe with psychotic features: Requires psychotic symptoms
Code Hierarchy
└F31Bipolar disorder└F31.1Bipolar disorder, current episode manic without psychotic features└F31.12Bipolar disorder, current episode manic without psychotic features, moderate
└F31.12Bipolar disorder, current episode manic without psychotic features, moderate