F31 — Bipolar disorder
F31 is a non-billable header ICD-10-CM code for bipolar disorder. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Excludes2 — not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- cyclothymia (F34.0)
Includes
Conditions this code covers.
- bipolar I disorder
- bipolar type I disorder
- manic-depressive illness
- manic-depressive psychosis
- manic-depressive reaction
- seasonal bipolar disorder
Other codes that can never be billed with F31
These codes carry an Excludes1 note pointing at F31. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading F31 alone.
Risk adjustment
F31 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead F31
10 child codes. Green means billable.
- F31.0Bipolar disorder, current episode hypomanic
- F31.1Bipolar disorder, current episode manic without psychotic features
- F31.2Bipolar disorder, current episode manic severe with psychotic features
- F31.3Bipolar disorder, current episode depressed, mild or moderate severity
- F31.4Bipolar disorder, current episode depressed, severe, without psychotic features
- F31.5Bipolar disorder, current episode depressed, severe, with psychotic features
- F31.6Bipolar disorder, current episode mixed
- F31.7Bipolar disorder, currently in remission
- F31.8Other bipolar disorders
- F31.9Bipolar disorder, unspecified
Questions about F31
- Is F31 a billable ICD-10-CM code?
- No. F31 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does F31 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mood [affective] disorders (F30-F39).
- What cannot be coded together with F31?
- F31 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.