F30.4
F30.4: Manic episode in full remission
Billable / specific codeICD-10-CM
F30.4 is a billable, specific ICD-10-CM code for manic episode in full remission. It is valid for submission on a claim.
Check F30.4 with the rest of the claim: free scrubberOther codes that can never be billed with F30.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
F30.4 is named in 11 Medicare coverage policies: 9 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.
- A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
- A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
- A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
- A56937Billing and Coding: Psychiatry and Psychology Services
Alphabetic index entries that lead here
- Disorder›mood›manic episode›in remission(full)
- Episode›manic›with›remission(full)
Code history
Unchanged in every release from FY2024 to FY2027.