F31.76 ICD-10-CM Code: Bipolar disorder, in full remission, most recent episode depressed
F31.76 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Mental, Behavioral and Neurodevelopmental disorders (F01-F99) / Mood [affective] disorders (F30-F39)
F31.76
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBipolar disorder, in full remission, most recent episode depressed
Bipolar disorder where the patient is completely symptom-free, and their most recent mood episode was a depressive episode.
Buddy Insight
Bipolar disorder in full remission with the most recent episode being depressive indicates complete resolution of the last depressive episode.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
Context neededHCC 088
Coefficient needs member context
ESRD/PACE
Context neededHCC 59
Coefficient needs member context
RXHCC
MappedHCC 131
Code-level coefficient reference
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for F31.76. 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, F31
- cyclothymia (F34.0)Inherited from F01-F99, F31
Related Codes
Includes
Official- disorders of psychological developmentInherited from F01-F99, F31
- bipolar I disorderInherited from F01-F99, F31
- bipolar type I disorderInherited from F01-F99, F31
- manic-depressive illnessInherited from F01-F99, F31
- manic-depressive psychosisInherited from F01-F99, F31
- manic-depressive reactionInherited from F01-F99, F31
- seasonal bipolar disorderInherited from F01-F99, F31
Excludes 1
Official- bipolar disorder, single manic episode (F30.-)Inherited from F31
- major depressive disorder, single episode (F32.-)Inherited from F31
- major depressive disorder, recurrent (F33.-)Inherited from F31
Code First
OfficialNo Code First sequencing instructions are included in this display for F31.76. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for F31.76. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for F31.76. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
MEAT Support
Audit Caution
Common Mistakes
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 F31.76 an HCC code?
F31.76 has no mapping under the current CMS-HCC V28 community payment model. F31.76 has a separate mapping under the CMS-HCC ESRD model (HCC 59 (Major Depressive/Bipolar/and Paranoid Disorders)) and the Part D RxHCC model (HCC 131 (Bipolar Disorders)); the applicable result needs member context. F31.76 also appears in the HHS-HCC commercial risk model (HCC 088 (HHS-HCC 088 adult, RAF varies by metal level)), where the result depends on member context and is not a Medicare Advantage payment mapping.
- Code
- F31.76
- Description
- Bipolar disorder, in full remission, most recent episode depressed
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
HCC Category Mapping
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 F31.76 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →
MEAT review for F31.76
For F31.76, 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
F31.76 is the ICD-10-CM diagnosis code for bipolar disorder, in full remission, most recent episode depressed. Bipolar disorder where the patient is completely symptom-free, and their most recent mood episode was a depressive episode. F31.76 sits in the ICD-10-CM chapter for mental, behavioral and neurodevelopmental disorders (f01-f99), within the section covering mood [affective] disorders (f30-f39).
F31.76 has no mapping under the current CMS-HCC V28 community payment model. F31.76 has a separate mapping under the CMS-HCC ESRD model (HCC 59 (Major Depressive/Bipolar/and Paranoid Disorders)) and the Part D RxHCC model (HCC 131 (Bipolar Disorders)); the applicable result needs member context. F31.76 also appears in the HHS-HCC commercial risk model (HCC 088 (HHS-HCC 088 adult, RAF varies by metal level)), where the result depends on member context and is not a Medicare Advantage payment mapping. Do not assign V28 risk adjustment value from this page; verify the applicable model and payment year before using this code for risk adjustment.
Full remission requires documentation that depressive symptoms have fully resolved.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for F31.76 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Full remission requires documentation that depressive symptoms have fully resolved
- •Note the duration of remission and current treatment regimen to support the full remission status
Clinical Significance
Bipolar disorder in full remission with the most recent episode being depressive indicates complete resolution of the last depressive episode. While clinically stable, the patient remains at risk for future mood episodes and typically continues maintenance therapy. Accurate coding supports continuity of care documentation.
Documentation Requirements
- ✓Confirmed bipolar disorder diagnosis
- ✓Most recent episode identified as depressive
- ✓Full remission with no current mood symptoms documented
- ✓Maintenance medication regimen
- ✓Relapse prevention and monitoring plan
Commonly Confused Codes
- •F31.75: Bipolar disorder, partial remission, most recent depressed: Residual symptoms present
- •F31.78: Bipolar disorder, full remission, most recent mixed: Different episode type
- •F32.5: Major depressive disorder, single episode, full remission: No bipolar history
- •F33.42: Major depressive disorder, recurrent, full remission: Unipolar recurrent depression