F31.2
BillableBipolar disorder, current episode manic severe with psychotic features
HCC Category Mapping
V28HCC 152 — Delusional and Other Specified Psychotic Disorders
0.546V24HCC 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 severe manic episode that includes psychotic features such as delusions or hallucinations, representing the most severe form of manic presentation.
Coding Tips
- •The presence of psychotic features (delusions, hallucinations) must be explicitly documented to use this code
- •This severity level almost always requires hospitalization and intensive psychiatric treatment
Clinical Significance
Bipolar disorder with current severe manic episode with psychotic features represents the most acute manic presentation, involving delusions, hallucinations, or both alongside severe mania. This condition almost always requires inpatient psychiatric hospitalization and carries high risk for harm to self or others. The psychotic component elevates both clinical complexity and resource utilization significantly.
Documentation Requirements
- ✓Confirmed bipolar disorder diagnosis
- ✓Current manic episode documented as severe
- ✓Specific psychotic features documented: type of delusions (grandiose, persecutory) and/or hallucinations (auditory, visual)
- ✓Assessment of danger to self or others
- ✓Hospitalization or emergency department encounter documentation if applicable
- ✓Antipsychotic medication prescribed in addition to mood stabilizers
- ✓Mental status examination findings supporting psychosis
Commonly Confused Codes
F31.13 — Bipolar disorder, current episode manic, severe without psychotic features: No psychotic symptoms presentF25.0 — Schizoaffective disorder, bipolar type: Psychotic features persist between mood episodes in schizoaffective disorderF20.x — Schizophrenia: Mood symptoms are not the primary clinical featureF31.5 — Bipolar disorder, current episode depressed, severe with psychotic features: Depressive rather than manic episode
Code Hierarchy
└F31Bipolar disorder└F31.2Bipolar disorder, current episode manic severe with psychotic features
└F31.2Bipolar disorder, current episode manic severe with psychotic features