2025 ICD-10-CM code F30
(Active) Effective Date: N/A Revision Date: N/A Mental, Behavioral and Neurodevelopmental disorders - Mood [affective] disorders Mental, Behavioral and Neurodevelopmental disorders (F01-F99) Feed
Manic episode; a state of extreme hyperactivity and elevated or irritable mood lasting at least one week, often part of bipolar disorder.
Modifiers may be applicable depending on the specific services provided. Refer to AMA CPT coding guidelines for modifier usage.
Medical necessity is established by the presence of a manic episode causing significant impairment in social, occupational, or daily functioning, or posing a risk of harm to self or others.Documentation must support the severity and impact of the symptoms.
Diagnosis is based on patient history, symptoms, behavioral assessment, and clinical observation.Treatment involves psychotherapy, medication (often antipsychotics), and cognitive therapy.Hospitalization may be necessary in severe cases.
In simple words: A manic episode is a period where someone feels extremely happy, energetic, or irritable for at least a week.They might sleep less, talk very fast, have racing thoughts, and make impulsive decisions. This is often a part of bipolar disorder.
A manic episode is characterized by an abnormally elevated, expansive, or irritable mood, persistent for at least one week, accompanied by at least three other symptoms representing a significant change from usual behavior (four if mood is only irritable).These symptoms may include inflated self-esteem or grandiosity, decreased need for sleep, more talkativeness than usual or pressured speech, flight of ideas or racing thoughts, distractibility, increase in goal-directed activity or psychomotor agitation, and excessive involvement in pleasurable activities with high potential for painful consequences. The episode is of sufficient severity to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.
Example 1: A 28-year-old presents with a one-week history of inflated self-esteem, decreased need for sleep, pressured speech, racing thoughts, and excessive spending. They have quit their job and are making unrealistic business plans.Diagnosis: Manic episode., A 45-year-old reports a several-day period of irritability, agitation, and increased energy, leading to significant conflict at work and strained family relationships.They have also experienced hallucinations and delusions. Diagnosis: Manic episode with psychotic features., A 19-year-old college student is brought to the emergency room after a week of reckless behavior, including substance abuse and unsafe sexual encounters, accompanied by an elevated mood and decreased need for sleep.Diagnosis: Manic episode.
Detailed history of symptoms, duration, and impact on daily life.Mental status examination documenting mood, thought process, and behavior.Information on social and occupational functioning.Consideration of potential substance use or other medical conditions.
** Differential diagnosis is crucial to distinguish a manic episode from other conditions that may present with similar symptoms, such as substance-induced mood disorders or other mental health conditions.The severity and duration of symptoms are critical in determining the appropriate diagnosis and treatment plan.
- Payment Status: Active
- Modifier TC rule: Not applicable to this diagnosis code.
- Specialties:Psychiatry, Psychology
- Place of Service:Office, Inpatient Hospital, Emergency Room - Hospital, Outpatient Hospital, Psychiatric Facility-Partial Hospitalization, Community Mental Health Center