In simple words: This diagnosis means the person is currently experiencing a severe manic phase of bipolar disorder, including symptoms like hallucinations or delusions, in addition to extreme changes in mood and energy levels.

This code signifies a current manic episode of bipolar I disorder, characterized by severely elevated mood and energy, accompanied by psychotic symptoms like delusions or hallucinations.The psychotic symptoms can be mood-congruent (consistent with the manic mood) or mood-incongruent.

Example 1: A patient presents with elevated mood, rapid speech, decreased need for sleep, grandiose delusions (believing they have special powers), and auditory hallucinations (hearing voices).These symptoms are consistent with a manic episode with psychotic features., A patient with a history of bipolar disorder experiences a period of intense irritability, increased energy, and racing thoughts. They also report seeing frightening images that are not real, which are mood-incongruent hallucinations., A patient becomes increasingly agitated, engages in risky behaviors (excessive spending, reckless driving), and experiences delusions of persecution (believing others are trying to harm them). This combination of symptoms points to a manic episode with psychotic features.

Documentation should include a thorough description of the manic episode, details about the specific psychotic symptoms (e.g., type of hallucinations or delusions), the severity of the symptoms, and their impact on the patient's functioning. Information about past mood episodes and treatments should also be documented.