Coding and coverage · ICD-10-CM

F31 › F31.6

F31.64 Bipolar disorder, current episode mixed, severe, with psychotic features

BillableCMS-HCC V28: HCC 152age >= 20152age < 20Chapter 5
Check coverage with this diagnosis

Instructional notes

Chapter 5

Excludes2Not included here: the patient may have both; report both when both are present.
  • symptoms, signs and abnormal clinical laboratory findings, not elsewhere classified (R00-R99)
Includes
  • disorders of psychological development

F31

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • bipolar disorder, single manic episode (F30.-)
  • major depressive disorder, single episode (F32.-)
  • major depressive disorder, recurrent (F33.-)
Excludes2Not included here: the patient may have both; report both when both are present.
Includes
  • bipolar I disorder
  • bipolar type I disorder
  • manic-depressive illness
  • manic-depressive psychosis
  • manic-depressive reaction
  • seasonal bipolar disorder

This code

Inclusion terms
  • Bipolar disorder, current episode mixed with mood-congruent psychotic symptoms
  • Bipolar disorder, current episode mixed with mood-incongruent psychotic symptoms

Chapter 5: Mental, Behavioral and Neurodevelopmental disorders · F30-F39 Mood [affective] disorders (F30-F39)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

Coverage and payment depend on the claim details; confirm with the Medicare Administrative Contractor.