Bipolar Disorder Documentation Guide
Mood disorder characterized by episodes of mania or hypomania alternating with depressive episodes.
ICD-10 Codes: F31.0, F31.10, F31.11, F31.12, F31.30, F31.31, F31.32, F31.4, F31.5, F31.9
Common Symptoms
- Mood elevation or irritability
- Decreased need for sleep
- Pressured speech
- Depressed mood
- Grandiosity
Key Documentation Elements
- Current episode type (manic, depressive, mixed, remission)
- Episode severity (mild, moderate, severe)
- Psychotic features if present
- Current mood stabilizer regimen and levels
- Safety assessment and functional status
Documentation Challenges
- Capturing current episode type and severity
- Documenting mood stabilizer levels and adjustments
- Recording safety assessment for manic and depressive episodes
- Tracking episode frequency and cycling patterns
Billing Considerations
- Episode-specific coding (manic F31.0-F31.2, depressive F31.3-F31.5)
- Severity and psychotic features documentation
- Complex medication management coding
Frequently Asked Questions
How are bipolar episodes coded in ICD-10?
Bipolar I codes depend on episode: manic (F31.0-F31.2), depressive (F31.3-F31.5), mixed (F31.6), with severity modifiers. Bipolar II uses F31.81. Scribeable selects based on your documented mood assessment.
How does Scribeable help with bipolar disorder documentation?
Scribeable captures episode type, severity, medication regimens, mood stabilizer levels, and safety assessments from your encounter, creating comprehensive psychiatric notes with accurate episode-specific ICD-10 coding.