Quick reference
- When to use
- Use F31.2 when the client has an established or newly diagnosed bipolar disorder with the current episode matching this code's specifier. Always document history of manic episodes for Bipolar I. Never assign without confirming episode polarity.
- Duration
- Manic episodes: minimum 7 days (or any duration if hospitalized). Hypomanic episodes: minimum 4 consecutive days. Depressive episodes: minimum 2 weeks. Track mood longitudinally with mood charts.
- Session codes
- Pair with CPT 90834/90837 for therapy sessions. Medication management: 99213/99214. Add 96127 for mood screening tools (MDQ, PHQ-9). Crisis: 90839. Consider 90847 for family psychoeducation.
- Key indicators
- Mood episodes (manic, hypomanic, or depressive) • History of at least one manic episode (Bipolar I) • Elevated energy + decreased sleep need • Grandiosity • Pressured speech • Risk-taking behavior • Cycling pattern
What F31.2 represents
Mania accompanied by psychotic features such as grandiose delusions, hallucinations, or paranoid ideation. This represents one of the more severe presentations of bipolar disorder.
Key diagnostic criteria
- Meets full criteria for manic episode
- Delusions and/or hallucinations present
- Specify mood-congruent or mood-incongruent psychotic features
Documentation essentials
Document psychotic symptoms specifically. Note whether mood-congruent or incongruent. Assess safety thoroughly.
Differential diagnosis
Critical to distinguish from schizoaffective disorder and schizophrenia. Psychotic features should occur in context of mood episodes.
Treatment planning
Antipsychotic medication essential. May require inpatient stabilization. Mood stabilizer plus antipsychotic combination.
Insurance & billing
Strong medical necessity. Supports intensive treatment and potentially inpatient care.
Updates & changes
Monitor for updates on specifier criteria.
Documentation pitfalls
Always specify mood-congruent vs. mood-incongruent. Don't miss safety risks.
References
- American Psychiatric Association. (2022). Diagnostic and Statistical Manual of Mental Disorders (5th ed., text rev.).