F30.12 — Manic episode without psychotic symptoms, moderate
F30.12 is a billable, specific ICD-10-CM code for manic episode without psychotic symptoms, moderate. It is valid for submission on a claim.
Risk adjustment
F30.12 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 154 Bipolar Disorders without Psychosis0.351 RAF
- HCC 154 Bipolar Disorders without Psychosis0.351 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
F30.12 is named in 16 Medicare coverage policies — 15 listing it as supporting medical necessity, and 1 listing it as NOT covered. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56685Billing and Coding: Partial Hospitalization Programs
- A56756Billing and Coding: Home Health - Psychiatric Care
How F30.12 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to F30.12.
- Mania›without psychotic symptoms›moderate
- Disorder›bipolar›single manic episode›moderate
- Episode›manic›without psychotic symptoms›moderate
- Disorder›mood›manic episode›without psychotic symptoms›moderate
Related codes at this level
Codes that share F30.1. If F30.12 is not quite right, the correct code is usually one of these.
Questions about F30.12
- Is F30.12 a billable ICD-10-CM code?
- Yes. F30.12 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does F30.12 sit in the tabular list?
- Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mood [affective] disorders (F30-F39).