F30-F39 — Mood [affective] disorders
ICD-10-CM codes F30-F39 cover mood [affective] disorders, within mental, behavioral and neurodevelopmental disorders. The block holds 76 codes across 6 categories, of which 62 are billable and 14 are header codes that cannot be submitted on a claim.
Risk adjustment in F30-F39
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 154 Bipolar Disorders without Psychosis
- HCC 152 Psychosis, Except Schizophrenia
- HCC 155 Major Depression, Moderate or Severe, without Psychosis
What else to watch in F30-F39
- 62 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.