2025 ICD-10-CM code F31
(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
Bipolar disorder, encompassing bipolar I disorder, manic-depressive illness, and related conditions.
Medical necessity for bipolar disorder treatment is established based on the presence of clinically significant symptoms that interfere with daily life, relationships, and occupational functioning.The need for medication and psychotherapy is determined by the severity of the symptoms and the patient's response to treatment.
Diagnosis and treatment of bipolar disorder are the responsibility of mental health professionals, typically psychiatrists or psychologists. This includes conducting thorough assessments, developing individualized treatment plans, monitoring medication effectiveness, and providing ongoing support and therapy.
In simple words: Bipolar disorder is a mental health condition causing extreme mood swings between feeling very happy and energetic (mania) and feeling very sad and hopeless (depression).It makes everyday life challenging, but treatment with medication and therapy can help manage symptoms.
Bipolar disorder is a serious mental illness characterized by significant shifts in mood, energy levels, activity, and concentration.These shifts involve alternating periods of elevated mood and euphoria (manic episodes) and periods of sadness, detachment, or hopelessness (depressive episodes). Less severe manic episodes are termed hypomanic episodes. Diagnosis relies on clinical assessment by a mental health professional, considering the patient's history, symptoms, and behavior. Treatment typically involves a combination of medication (mood stabilizers, antipsychotics, antidepressants), psychotherapy (such as cognitive behavioral therapy), and lifestyle modifications.
Example 1: A 25-year-old patient presents with a history of intense mood swings, including periods of elevated mood, increased energy, and impulsive behavior (mania) followed by periods of profound sadness, hopelessness, and loss of interest in activities (depression).The physician diagnoses bipolar I disorder and initiates treatment with a mood stabilizer and psychotherapy., A 30-year-old patient experiences less severe manic episodes (hypomania), characterized by increased energy and productivity, alternating with depressive episodes. The physician diagnoses bipolar II disorder and prescribes medication to manage mood fluctuations and prevent escalation to full-blown mania., A 40-year-old patient with bipolar disorder experiences a mixed episode, exhibiting symptoms of both mania and depression simultaneously.The physician adjusts medication regimen to address both sets of symptoms and provides supportive psychotherapy.
Detailed documentation should include the patient's history of mood episodes, duration and severity of symptoms (manic and depressive), presence of psychotic features (if any), impact on daily functioning, family history of mental illness, past treatment attempts, and response to current treatment.Documentation should also include results of any relevant physical and laboratory tests.
** Further specification of the bipolar disorder subtype (e.g., with psychotic features, with seasonal pattern) may be necessary depending on clinical presentation.It is crucial to adhere to the most recent ICD-10-CM coding guidelines for accurate billing.
- Payment Status: Active
- Specialties:Psychiatry, Psychology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Psychiatric Facility-Partial Hospitalization, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home