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.
Check F30.12 with the rest of the claim: free scrubberOther codes that can never be billed with F30.12
Their own Excludes1 notes name this code, so the conflict is not listed above.
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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
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 one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- 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
Code history
Unchanged in every release from FY2024 to FY2027.