{"id":7713,"date":"2026-10-02T13:27:00","date_gmt":"2026-10-02T13:27:00","guid":{"rendered":"https:\/\/www.vozohealth.com\/blog\/?p=7713"},"modified":"2026-10-05T12:59:01","modified_gmt":"2026-10-05T12:59:01","slug":"icd-10-cm-codes-for-bipolar-disorder-a-provider-guide","status":"publish","type":"post","link":"https:\/\/www.vozohealth.com\/blog\/icd-10-cm-codes-for-bipolar-disorder-a-provider-guide\/","title":{"rendered":"ICD-10-CM Codes for Bipolar Disorder: A Provider Guide"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">A patient has an established bipolar disorder diagnosis, but the latest psychiatric note does not identify whether the current episode is manic, depressed, mixed, or in remission. That missing detail can change the ICD-10-CM code reported for the encounter.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bipolar disorder is not represented by one universal diagnosis code. The F31 category contains multiple codes based on the clinical presentation, including episode type, severity, psychotic features, remission status, and Bipolar II disorder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For U.S. providers, choosing the appropriate ICD-10-CM code helps keep <a href=\"https:\/\/www.vozohealth.com\/notes-documentation\">diagnosis documentation<\/a> and billing information consistent. However, a valid diagnosis code does not by itself guarantee coverage or payment.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">What Is the ICD-10 Code for Bipolar Disorder?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bipolar disorder is a mood disorder involving episodes of significant changes in mood, energy, activity, and functioning.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The main ICD-10-CM category is:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>F31 &#8211; Bipolar disorder<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">F31 is a category rather than a complete code for most claims. More specific codes within the category describe the patient&#8217;s documented bipolar presentation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common examples include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>F31.9 &#8211; Bipolar disorder, unspecified<\/li>\n\n\n\n<li>F31.81- Bipolar II disorder<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bipolar I disorder does not have a single ICD-10-CM code equivalent to F31.81. Instead, applicable F31 codes generally reflect the documented current or most recent episode and related characteristics.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bipolar Disorder ICD-10-CM Codes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The appropriate code depends on how the diagnosis is documented.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>ICD-10-CM code<\/strong><\/td><td><strong>Description<\/strong><\/td><\/tr><tr><td><strong>F31.0<\/strong><\/td><td>Bipolar disorder, current episode hypomanic<\/td><\/tr><tr><td><strong>F31.1-<\/strong><\/td><td>Current episode manic without psychotic features<\/td><\/tr><tr><td><strong>F31.2<\/strong><\/td><td>Current episode manic, severe with psychotic features<\/td><\/tr><tr><td><strong>F31.3<\/strong><\/td><td>Current episode depressed, mild or moderate severity<\/td><\/tr><tr><td><strong>F31.4<\/strong><\/td><td>Current episode depressed, severe, without psychotic features<\/td><\/tr><tr><td><strong>F31.5<\/strong><\/td><td>Current episode depressed, severe, with psychotic features<\/td><\/tr><tr><td><strong>F31.6-<\/strong><\/td><td>Current episode mixed<\/td><\/tr><tr><td><strong>F31.7-<\/strong><\/td><td>Bipolar disorder in remission<\/td><\/tr><tr><td><strong>F31.81<\/strong><\/td><td>Bipolar II disorder<\/td><\/tr><tr><td><strong>F31.89<\/strong><\/td><td>Other bipolar disorder<\/td><\/tr><tr><td><strong>F31.9<\/strong><\/td><td>Bipolar disorder, unspecified<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Codes ending in a dash contain additional subdivisions. For example, manic, depressive, mixed, and remission codes may further distinguish severity, psychotic features, or remission status.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Providers and coding teams should verify the complete code in the applicable <a href=\"https:\/\/www.cdc.gov\/nchs\/icd\/icd-10-cm\/files.html\">ICD-10-CM Tabular<\/a><a href=\"https:\/\/www.cdc.gov\/nchs\/icd\/icd-10-cm\/files.html\" target=\"_blank\" rel=\"noopener\"> <\/a><a href=\"https:\/\/www.cdc.gov\/nchs\/icd\/icd-10-cm\/files.html\">List<\/a> before reporting it.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Do You Choose the Correct Bipolar Disorder Code?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Code selection begins with the diagnosis documented by the treating provider.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the diagnosis, ICD-10-CM may distinguish:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>bipolar disorder type<\/li>\n\n\n\n<li>current or most recent episode<\/li>\n\n\n\n<li>manic, hypomanic, depressed, or mixed presentation<\/li>\n\n\n\n<li>severity<\/li>\n\n\n\n<li>presence of psychotic features<\/li>\n\n\n\n<li>remission status<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Not every encounter will contain all of these details, and not every F31 code requires all of them.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coding staff should not independently determine whether a patient has Bipolar I, Bipolar II, or a particular episode based only on symptoms, medications, or screening results. When a necessary diagnostic distinction is unclear or conflicting, provider clarification may be appropriate.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">When Should F31.9 Be Used?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">F31.9 means bipolar disorder, unspecified.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It may be reported when bipolar disorder has been diagnosed, but the available documentation does not support another, more specific F31 code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For example, documentation stating only \u201cbipolar disorder\u201d may support F31.9 when no type, episode, or other applicable distinction is established.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">F31.9 is a complete, billable ICD-10-CM code. The broader F31 category is not a complete billable code because it contains more specific codes underneath it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A billable code does not guarantee reimbursement. Coverage also depends on factors such as the service provided, medical necessity, plan benefits, authorization requirements, and payer policy.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Bipolar I vs. Bipolar II ICD-10-CM Coding<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bipolar II disorder has the specific code F31.81. <a href=\"https:\/\/www.nimh.nih.gov\/health\/publications\/bipolar-disorder\" target=\"_blank\" rel=\"noopener\">Bipolar I disorder<\/a> is represented through other F31 codes according to the documented presentation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NIMH describes Bipolar I disorder as involving manic episodes lasting at least seven days or manic symptoms severe enough to require immediate hospital care. Bipolar II disorder involves a pattern of depressive and hypomanic episodes without the full manic episodes characteristic of Bipolar I.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This distinction is clinical and should come from the provider&#8217;s diagnosis rather than being inferred during coding. Cyclothymic disorder is classified separately under F34.0.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Should Providers Document for Bipolar Disorder Coding?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The medical record should describe the bipolar disorder diagnosis and the clinical distinctions relevant to the selected code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Depending on the encounter, useful documentation may include the current or most recent episode, severity, psychotic features, or remission status.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For <a href=\"https:\/\/www.vozohealth.com\/psychiatry\">longitudinal psychiatric care<\/a>, providers should also update the diagnosis when the patient&#8217;s documented episode or remission status changes rather than automatically carrying forward an older episode-specific code.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The purpose is not to add terminology solely for coding specificity. The code should follow the diagnosis established by the treating provider.<\/p>\n\n\n\n<div class=\"wp-block-group alignfull has-background\" style=\"background-color:#f2f7ff\"><div class=\"wp-block-group__inner-container is-layout-flow wp-block-group-is-layout-flow\">\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-8f761849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<h2 class=\"wp-block-heading has-text-align-center\"><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong>Keep Bipolar Disorder Documentation and Billing Connected<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n<h5 class=\"wp-block-heading has-text-align-center\">Keep diagnosis updates, treatment notes, and billing details connected so your behavioral health team can work from one patient record.<\/h5>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.vozohealth.com\/pricing\" style=\"background-color:#4f6df5\"><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong><strong>Start Your 14-Day Free Trial<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/strong><\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Common Bipolar Disorder Coding Mistakes<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. Treating F31.9 as the default bipolar disorder code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Do not default to F31.9 when the provider has documented a bipolar disorder presentation that maps to another F31 code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Submitting F31 as the complete diagnosis code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">F31 identifies the bipolar disorder category. Because that category is subdivided, coding should continue to an applicable complete code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Coding Bipolar II disorder as F31.9<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">When the documented diagnosis is Bipolar II disorder, F31.81 is the corresponding ICD-10-CM code.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">4. Coding a suspected outpatient diagnosis as confirmed<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In outpatient settings, diagnoses described as probable, suspected, questionable, \u201crule out,\u201d or similar wording generally are not reported as though they were established. Instead, coding is based on the highest degree of certainty known for that encounter, such as documented symptoms or another confirmed condition.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The rules for uncertain diagnoses differ in certain inpatient settings.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">5. Using the diagnosis code to choose a psychotherapy CPT code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ICD-10-CM codes describe diagnoses. CPT and HCPCS codes identify services and procedures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A bipolar disorder diagnosis therefore does not determine whether the correct service code is a <a href=\"https:\/\/www.vozohealth.com\/blog\/psychotherapy-cpt-codes-addressing-the-what-why-how-and-the-most-used-queries\">psychotherapy CPT <\/a>code, psychiatric diagnostic evaluation, evaluation and management, or another service.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Manage Behavioral Health Documentation and Billing With Vozo<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.vozohealth.com\/\">Vozo EHR<\/a> helps behavioral health practices manage clinical documentation, diagnosis information, scheduling, patient records, and billing from one connected system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Clinicians can document visits, update diagnoses, maintain treatment records, and review patient information during ongoing care, while administrative teams can manage appointments, insurance details, and claim workflows without relying on disconnected tools.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For psychiatrists, therapists, psychologists, and multi-provider behavioral health practices, Vozo supports both clinical and operational workflows in one place, helping teams keep patient information consistent from documentation through billing.<\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-fe48e5de wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.vozohealth.com\/pricing\" style=\"background-color:#4f6df5\">Start Your 14-Day Free Trial<\/a><\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Can a bipolar disorder ICD-10-CM code be used with CPT 90834 or 90837?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes, when the diagnosis and psychotherapy service are appropriately supported. ICD-10-CM identifies the diagnosis, while <a href=\"https:\/\/www.vozohealth.com\/blog\/cpt-code-90834-a-complete-guide-to-the-45-minute-psychotherapy-code\">CPT 90834<\/a> and 90837 describe psychotherapy services with different time requirements. The diagnosis does not determine which psychotherapy code to select.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does F31.9 guarantee insurance coverage?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. F31.9 is a valid diagnosis code, but coverage depends on the patient&#8217;s benefits, medical necessity, provider eligibility, service reported, authorization requirements, and payer policy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Which diagnosis should be listed first when bipolar disorder occurs with another condition?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It depends on the reason for the encounter and applicable coding guidance. In outpatient care, the condition chiefly responsible for the services provided generally guides first-listed diagnosis selection. Other conditions affecting care may also be reported when appropriate.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Does bipolar disorder require prior authorization?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Not universally. Authorization requirements depend on the payer, plan, medication, procedure, or level of behavioral health service. Practices should verify the patient&#8217;s specific coverage requirements.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Should a bipolar disorder code change when the patient&#8217;s episode changes?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">It may. When the provider documents a change in episode, severity, psychotic features, or remission status that corresponds to another F31 code, the diagnosis code may need to be updated for the encounter.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Official Sources<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Centers for Medicare &amp; Medicaid Services (CMS). <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/ICD-10-codes\" target=\"_blank\" rel=\"noopener\">ICD-10-CM FY2027 Files and Updates<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CDC\/National Center for Health Statistics (NCHS). <a href=\"https:\/\/www.cdc.gov\/nchs\/icd\/icd-10-cm\/files.html\" target=\"_blank\" rel=\"noopener\">ICD-10-CM Files<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CMS\/NCHS. <a href=\"https:\/\/www.cms.gov\/files\/document\/fy-2027-icd-10-cm-coding-guidelines.pdf\" target=\"_blank\" rel=\"noopener\">ICD-10-CM Official Guidelines for Coding and Reporting, FY2027<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nimh.nih.gov\/health\/publications\/bipolar-disorder?\" target=\"_blank\" rel=\"noopener\">National Institute of Mental Health (NIMH). Bipolar Disorder<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A patient has an established bipolar disorder diagnosis, but the latest psychiatric note does not identify whether the current episode is manic, depressed, mixed, or in remission. That missing detail can change the ICD-10-CM code reported for the encounter. Bipolar disorder is not represented by one universal diagnosis code. The F31 category contains multiple codes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":7714,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1372],"tags":[1411,1379,1376,1410],"class_list":["post-7713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-icd-codes","tag-bipolar-disorder","tag-icd-10-codes","tag-icd-codes","tag-icd-10-cm-codes-for-bipolar-disorder"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"Review ICD-10-CM codes for bipolar disorder, including F31.9 and F31.81, with documentation and billing guidance for U.S. providers.\" \/>\n\t<meta name=\"robots\" content=\"max-image-preview:large\" \/>\n\t<meta name=\"author\" content=\"Lara Dixit\"\/>\n\t<meta name=\"google-site-verification\" content=\"AhUDJ2sSXHZ0VKZHXI-GnQINqRWG3hvtZn8zodJNupI\" 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