F31.2 Bipolar disorder, current episode manic severe with psychotic features

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

Applicable to

• Bipolar disorder, current episode manic with mood-congruent psychotic symptoms
• Bipolar disorder, current episode manic with mood-incongruent psychotic symptoms
• Bipolar I disorder, current or most recent episode manic with psychotic features

Applies from F31 Bipolar disorder

Includes

• bipolar I disorder
• bipolar type I disorder
• manic-depressive illness
• manic-depressive psychosis
• manic-depressive reaction
• seasonal bipolar disorder

Excludes1 (never code together)

• bipolar disorder, single manic episode (F30.-)
• major depressive disorder, single episode (F32.-)
• major depressive disorder, recurrent (F33.-)

Excludes2 (not included here)

• cyclothymia (F34.0)

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)

• 296.44 Bipolar I disorder, most recent episode (or current) manic, severe, specified as with psychotic behavior

Code annotations containing back-references to F31.2

Back-references to F31.2

• 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)")

Back-references to F31

• 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: F30 Manic episode ("bipolar disorder (F31.-)")
• Type 1 Excludes: F32 Depressive episode ("bipolar disorder (F31.-)")
• Type 1 Excludes: F33 Major depressive disorder, recurrent ("bipolar disorder (F31.-)")
• 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: F63.2 Kleptomania ("depressive disorder with stealing (F31.-, F32.-, F33.-)")
• 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)")
• Type 1 Excludes: R40.1 Stupor ("depressive stupor (F31.-, F32.-, F33.-)")

Diagnosis Index entries for F31.2

• Disorder (of) › bipolar (I) (seasonal) (type 1) › current (or most recent) episode › manic › with psychotic features
• Disorder (of) › bipolar (I) (seasonal) (type 1) › current (or most recent) episode › manic › without psychotic features › severe (without psychotic features) › with psychotic features

Nearby codes

• F31.1 Bipolar disorder, current episode manic without psychotic features
• F31.10 Bipolar disorder, current episode manic without psychotic features, unspecified
• F31.11 Bipolar disorder, current episode manic without psychotic features, mild
• F31.12 Bipolar disorder, current episode manic without psychotic features, moderate
• F31.13 Bipolar disorder, current episode manic without psychotic features, severe
• F31.2 Bipolar disorder, current episode manic severe with psychotic features (this code)
• F31.3 Bipolar disorder, current episode depressed, mild or moderate severity
• F31.30 Bipolar disorder, current episode depressed, mild or moderate severity, unspecified
• F31.31 Bipolar disorder, current episode depressed, mild
• F31.32 Bipolar disorder, current episode depressed, moderate
• F31.4 Bipolar disorder, current episode depressed, severe, without psychotic features