2025 ICD-10-CM code F30.2
(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
Severe manic episode with psychotic symptoms.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided. For example, a modifier might be used to indicate the place of service or the type of provider. Refer to the appropriate modifier guidelines.
Medical necessity for the diagnosis and treatment of F30.2 is established based on clinical evaluation demonstrating the presence of a severe manic episode with psychotic features, posing a risk to the patient's safety or the safety of others.The intensity, frequency, and duration of the symptoms, coupled with impairment in daily functioning, necessitate intervention.
Diagnosis and treatment of manic episodes with psychotic symptoms fall under the responsibility of psychiatrists, psychologists, or other qualified mental health professionals. The clinical team needs to assess the severity of the episode, monitor the patient’s condition and behaviour, provide medication management and therapy, and ensure the safety of the patient. If the patient needs hospitalization, the healthcare team must arrange for admission.
In simple words: A severe manic episode with psychotic symptoms means someone is very hyperactive, extremely happy (or irritable), and might hurt themselves or others.This is usually part of bipolar disorder, not a separate illness. It involves intense mood swings, false beliefs, and seeing or hearing things that aren't there.A doctor diagnoses this based on how the person acts and feels.Treatment usually involves therapy and medicine.
F30.2, Manic episode, severe with psychotic symptoms, refers to a mood state characterized by extreme hyperactivity, elevated mood (or unusual irritability), and potential for self-harm or harm to others.It's not a standalone disorder but a feature often found in bipolar disorder. The episode involves severe mood changes, delusions, or hallucinations. Patients might exhibit inflated self-worth, euphoria, sleep disturbances, racing thoughts, pressured speech, and difficulty maintaining focus. They may engage in impulsive, risky behaviors. Psychotic symptoms can be mood-congruent (consistent with mania) or mood-incongruent (not typical of mania). Diagnosis is based on patient history, symptoms, behavioral assessment, and physical examination.No specific lab tests exist, but diagnosis is confirmed by a mental health professional using DSM criteria. Treatment includes psychotherapy, antipsychotic medication, and cognitive therapy.
Example 1: A 28-year-old patient presents with a week of severe insomnia, racing thoughts, impulsive spending sprees, grandiose delusions of inventing a revolutionary technology, and auditory hallucinations. The patient is hyperactive and irritable, displaying behaviours which suggest a risk to self and others. A diagnosis of F30.2 (Manic episode, severe with psychotic symptoms) is made., A 45-year-old patient with a history of bipolar disorder reports increasing agitation, irritability, and sleep disturbances for the past few days, coupled with delusions of persecution and visual hallucinations. Despite their elevated mood, the patient expresses significant feelings of worthlessness and guilt. They have begun exhibiting self-harming behaviors. A diagnosis of F30.2 (Manic episode, severe with psychotic symptoms) with mixed features is made., A 60-year-old patient, newly diagnosed with bipolar disorder, experiences a manic episode characterized by inflated self-esteem, reduced need for sleep, and pressured speech. This is accompanied by persistent persecutory delusions, believing neighbours are plotting against them. Despite feeling euphoric, the patient experiences intense anxiety and fear. A diagnosis of F30.2 (Manic episode, severe with psychotic symptoms) is assigned.
Detailed patient history including previous episodes, family history of mental illness, detailed symptom presentation (including specific delusions and hallucinations), medication history, physical examination findings, results of any relevant laboratory tests, and the mental health professional's assessment and diagnosis, including justification for the diagnosis.
** The severity of the manic episode and the presence of psychotic symptoms are crucial for accurate coding.Careful consideration should be given to the patient's overall clinical presentation and potential for self-harm or harm to others.
- Payment Status: Active
- Modifier TC rule: Not applicable to this ICD-10-CM code.
- Specialties:Psychiatry, Psychology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Office, Other Place of Service