F30.2 Manic episode, severe with psychotic symptoms

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Manic stupor
• Mania with mood-congruent psychotic symptoms
• Mania with mood-incongruent psychotic symptoms

Applies from F30 Manic episode

Includes

• bipolar disorder, single manic episode
• mixed affective episode

Excludes1 (never code together)

• bipolar disorder (F31.-)
• major depressive disorder, single episode (F32.-)
• major depressive disorder, recurrent (F33.-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 152 — Psychosis, Except Schizophrenia
• CMS-HCC V22: HCC 58 — Major Depressive, Bipolar, and Paranoid Disorders
• RxHCC V08: HCC 131 — Bipolar Disorders
• ESRD V24: HCC 59

MS-DRG index

Defines the logic of DRG(s) 885 in MDC 19.

Approximate ICD-9-CM (GEMs)

• 296.04 Bipolar I disorder, single manic episode, severe, specified as with psychotic behavior (approximate)

Code annotations containing back-references to F30.2

Back-references to F30.2

• Type 1 Excludes: F20 Schizophrenia ("mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)")
• Type 1 Excludes: F22 Delusional disorders ("mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)")
• Type 2 Excludes: F23 Brief psychotic disorder ("mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)")
• Type 1 Excludes: F25 Schizoaffective disorders ("mood [affective] disorders with psychotic symptoms (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)")
• Type 1 Excludes: F53 Mental and behavioral disorders associated with the puerperium, not elsewhere classified ("mood disorders with psychotic features (F30.2, F31.2, F31.5, F31.64, F32.3, F33.3)")
• Type 1 Excludes: R40.1 Stupor ("manic stupor (F30.2)")
• Type 1 Excludes: R44 Other symptoms and signs involving general sensations and perceptions ("hallucinations in mood disorders with psychotic symptoms (F30.2, F31.5, F32.3, F33.3)")

Back-references to F30

• Type 2 Excludes: F06.3 Mood disorder due to known physiological condition ("mood disorders, not due to known physiological condition or unspecified (F30-F39)")
• Type 1 Excludes: F31 Bipolar disorder ("bipolar disorder, single manic episode (F30.-)")
• Type 1 Excludes: F32 Depressive episode ("manic episode (F30.-)")
• Type 1 Excludes: F33 Major depressive disorder, recurrent ("manic episode (F30.-)")
• Type 2 Excludes: F44.2 Dissociative stupor ("manic stupor (F30, F31)")
• Type 2 Excludes: F63.0 Pathological gambling ("excessive gambling by manic patients (F30, F31)")
• Type 2 Excludes: F90 Attention-deficit hyperactivity disorders ("mood [affective] disorders (F30-F39)")
• Type 2 Excludes: F91 Conduct disorders ("mood [affective] disorders (F30-F39)")
• Type 2 Excludes: F93.0 Separation anxiety disorder of childhood ("mood [affective] disorders (F30-F39)")

Diagnosis Index entries for F30.2

• Disorder (of) › bipolar (I) (seasonal) (type 1) › single manic episode › severe (without psychotic symptoms) › with psychotic symptoms
• Disorder (of) › mood › manic episode › with psychotic symptoms
• Episode › manic › with › psychotic symptoms
• Episode › manic › without psychotic symptoms › severe (without psychotic symptoms) › with psychotic symptoms
• Mania (monopolar) › with psychotic symptoms
• Psychosis, psychotic › mania, manic (single episode)
• Stupor (catatonic) › manic

Nearby codes

• F30.1 Manic episode without psychotic symptoms
• F30.10 Manic episode without psychotic symptoms, unspecified
• F30.11 Manic episode without psychotic symptoms, mild
• F30.12 Manic episode without psychotic symptoms, moderate
• F30.13 Manic episode, severe, without psychotic symptoms
• F30.2 Manic episode, severe with psychotic symptoms (this code)
• F30.3 Manic episode in partial remission
• F30.4 Manic episode in full remission
• F30.8 Other manic episodes
• F30.9 Manic episode, unspecified