Manic episode
In Mood [affective] disorders (F30-F39), chapter 5: Mental, Behavioral and Neurodevelopmental Disorders
9 billable codes under F30: 6 are a CC; 8 map to HCC 154 (Bipolar Disorders without Psychosis), HCC 152 (Psychosis, Except Schizophrenia).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
Instructional notes
All codes under F30
F30 can't be used on a claim. Pick a billable code below; grey headings group them.
- F30.1Manic episode without psychotic symptoms
- F30.10Manic episode without psychotic symptoms, unspecified
- F30.11Manic episode without psychotic symptoms, mild
- F30.12Manic episode without psychotic symptoms, moderate
- F30.13Manic episode, severe, without psychotic symptoms
- F30.2Manic episode, severe with psychotic symptoms
- F30.3Manic episode in partial remission
- F30.4Manic episode in full remission
- F30.8Other manic episodes
- F30.9Manic episode, unspecified
MS-DRGs
As the principal diagnosis, all 9 billable codes under F30 group to these MS-DRGs (v44.0).
Other codes that refer to F30
Notes on these codes point to F30.
- F06.3 Excludes2: mood disorders, not due to known physiological condition or unspecified (F30-F39)
- F31 Excludes1: bipolar disorder, single manic episode (F30.-)
- F32 Excludes1: manic episode (F30.-)
- F33 Excludes1: manic episode (F30.-)
- F44.2 Excludes2: manic stupor (F30, F31)
- F63.0 Excludes2: excessive gambling by manic patients (F30, F31)
- F90 Excludes2: mood [affective] disorders (F30-F39)
- F91 Excludes2: mood [affective] disorders (F30-F39)
- F93.0 Excludes2: mood [affective] disorders (F30-F39)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Bipolar Disorder
Bipolar disorder is a mood disorder that can cause intense mood swings: Along with mood swings, bipolar disorder causes changes in behavior, energy levels, and activity levels.
Read more about bipolar disorder on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
