MCMCB Pro
F31.4

F31.4Bipolar disorder, current episode depressed, severe, without psychotic features

Billable / specific codeICD-10-CM

F31.4 is a billable, specific ICD-10-CM code for bipolar disorder, current episode depressed, severe, without psychotic features. It is valid for submission on a claim.

Risk adjustment

F31.4 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

F31.4 is named in 26 Medicare coverage policies 25 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
  • A56614Billing and Coding: Psychiatric Inpatient Hospitalization
  • A56645Billing and Coding: Controlled Substance Monitoring and Drugs of Abuse Testing
  • A56685Billing and Coding: Partial Hospitalization Programs

How F31.4 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 F31.4.

  • Reactiondepressiveaffective(single episode)
  • Disorderbipolarcurrent episodesevere depression(without psychotic features)
  • Disorderbipolarcurrent episodedepressedwithout psychotic featuressevere(without psychotic features)

Related codes at this level

Codes that share F31. If F31.4 is not quite right, the correct code is usually one of these.

Questions about F31.4

Is F31.4 a billable ICD-10-CM code?
Yes. F31.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does F31.4 sit in the tabular list?
Mental, Behavioral and Neurodevelopmental disorders (F01-F99), in the block Mood [affective] disorders (F30-F39).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.