F31.0

F31.0: Bipolar disorder, current episode hypomanic

Billable / specific codeICD-10-CM

F31.0 is a billable, specific ICD-10-CM code for bipolar disorder, current episode hypomanic. It is valid for submission on a claim.

Check F31.0 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above F31.0

A category’s note binds every code beneath it.

Written on F31: Bipolar disorder

bipolar disorder, single manic episode (F30.-)
major depressive disorder, single episode (F32.-)
major depressive disorder, recurrent (F33.-)

Excludes2 inherited from the categories above F31.0

Not part of this code, but both may be coded when both are present.

Written on F31: Bipolar disorder

cyclothymia (F34.0)

Other codes that can never be billed with F31.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

F30Manic episode
F32Depressive episode
F33Major depressive disorder, recurrent
R40.1Stupor

Risk adjustment

F31.0 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

F31.0 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
A56937Billing and Coding: Psychiatry and Psychology Services
A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
A57130Billing and Coding: Psychiatric Codes