ICD 10 CM code f34.0 with examples

ICD-10-CM Code F34.1: Bipolar Affective Disorder, Current Episode Hypomanic

Category: Mental, Behavioral and Neurodevelopmental disorders > Mood [affective] disorders

Description: This code signifies Bipolar Affective Disorder, a mood disorder characterized by periods of depression alternating with periods of elevated mood, which can include mania or hypomania.

Clinical Description: Bipolar Affective Disorder, currently in a hypomanic episode, is characterized by distinct periods of elevated mood, energy, and activity that are significantly different from the individual's usual self. While not as extreme as manic episodes, hypomanic episodes can still cause significant disruption in an individual's life. The symptoms usually last for at least 4 days and cause a clear change in functioning. It's important to note that these symptoms are not due to substance use or medical conditions. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) emphasizes that Bipolar Affective Disorder includes several distinct presentations. These include Bipolar I Disorder, characterized by at least one manic episode, Bipolar II Disorder, defined by one or more hypomanic episodes and at least one major depressive episode, and Cyclothymia, which features recurring episodes of hypomanic and depressive symptoms that are less intense than full-blown manic or depressive episodes.

Differentiating between manic and hypomanic episodes

Identifying Bipolar Affective Disorder

Treatment The goal of treatment is to stabilize mood, reduce symptoms, and improve overall functioning. It often involves a combination of medication and psychotherapy: Medications: Mood-stabilizing medications, such as lithium, anticonvulsants (valproic acid, lamotrigine), and antipsychotics (olanzapine, risperidone) are often prescribed to help manage manic and hypomanic symptoms. Antidepressants might also be used to treat depressive episodes, but they need to be carefully considered due to the risk of triggering manic episodes in some patients. Psychotherapy: Cognitive-behavioral therapy (CBT), is an effective therapy for Bipolar Affective Disorder, helps individuals understand their condition and develop strategies for managing mood swings, identifying triggers, and building coping mechanisms. Other therapies, including interpersonal therapy (IPT) and family-focused therapy (FFT), are often combined with CBT.

Dependencies and Exclusions:

ICD-10-CM Codes: F31.1: Bipolar affective disorder, current episode depressed F31.2: Bipolar affective disorder, current episode mixed F31.3: Bipolar affective disorder, current episode unspecified F31.4: Bipolar affective disorder, in partial remission F31.5: Bipolar affective disorder, in full remission F31.6: Bipolar affective disorder, single manic episode, without psychotic symptoms F31.7: Bipolar affective disorder, single manic episode, with psychotic symptoms F31.8: Bipolar affective disorder, recurrent manic episodes without psychotic symptoms F31.9: Bipolar affective disorder, recurrent manic episodes with psychotic symptoms F30-F39t: Mood [affective] disorders F01-F99t: Mental, Behavioral and Neurodevelopmental disorders ICD-9-CM Codes: 296.4: Bipolar I disorder 296.5: Bipolar II disorder 296.6: Cyclothymic disorder 296.8: Other bipolar disorders 296.9: Bipolar disorder, unspecified DRG Code: 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL 194: PSYCHOSES - MAJOR CPT Codes: 90791: Psychiatric diagnostic evaluation 90792: Psychiatric diagnostic evaluation with medical services 90832: Psychotherapy, 30 minutes with patient 90833: Psychotherapy, 30 minutes with patient when performed with an evaluation and management service 90834: Psychotherapy, 45 minutes with patient 90836: Psychotherapy, 45 minutes with patient when performed with an evaluation and management service 90837: Psychotherapy, 60 minutes with patient 90838: Psychotherapy, 60 minutes with patient when performed with an evaluation and management service 90845: Psychoanalysis 90846: Family psychotherapy (without the patient present), 50 minutes 90847: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes 90849: Multiple-family group psychotherapy 90853: Group psychotherapy (other than of a multiple-family group) 90863: Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services 90865: Narcosynthesis for psychiatric diagnostic and therapeutic purposes 90870: Electroconvulsive therapy (includes necessary monitoring) 90875: Individual psychophysiological therapy incorporating biofeedback training 90876: Individual psychophysiological therapy incorporating biofeedback training 90880: Hypnotherapy 90882: Environmental intervention for medical management purposes 90885: Psychiatric evaluation of hospital records, other psychiatric reports 90887: Interpretation or explanation of results of psychiatric examinations 90889: Preparation of report of patient's psychiatric status, history, treatment, or progress 90899: Unlisted psychiatric service or procedure 96110: Developmental screening 96112: Developmental test administration 96113: Developmental test administration 96116: Neurobehavioral status exam 96121: Neurobehavioral status exam 96125: Standardized cognitive performance testing 96130: Psychological testing evaluation services 96131: Psychological testing evaluation services 96132: Neuropsychological testing evaluation services 96133: Neuropsychological testing evaluation services 96136: Psychological or neuropsychological test administration 96137: Psychological or neuropsychological test administration 96138: Psychological or neuropsychological test administration 96139: Psychological or neuropsychological test administration 96146: Psychological or neuropsychological test administration, with single automated, standardized instrument 97129: Therapeutic interventions that focus on cognitive function 97130: Therapeutic interventions that focus on cognitive function 99202: Office or other outpatient visit for the evaluation and management of a new patient 99203: Office or other outpatient visit for the evaluation and management of a new patient 99204: Office or other outpatient visit for the evaluation and management of a new patient 99205: Office or other outpatient visit for the evaluation and management of a new patient 99211: Office or other outpatient visit for the evaluation and management of an established patient 99212: Office or other outpatient visit for the evaluation and management of an established patient 99213: Office or other outpatient visit for the evaluation and management of an established patient 99214: Office or other outpatient visit for the evaluation and management of an established patient 99215: Office or other outpatient visit for the evaluation and management of an established patient 99221: Initial hospital inpatient or observation care, per day 99222: Initial hospital inpatient or observation care, per day 99223: Initial hospital inpatient or observation care, per day 99231: Subsequent hospital inpatient or observation care, per day 99232: Subsequent hospital inpatient or observation care, per day 99233: Subsequent hospital inpatient or observation care, per day 99234: Hospital inpatient or observation care, for the evaluation and management of a patient 99235: Hospital inpatient or observation care, for the evaluation and management of a patient 99236: Hospital inpatient or observation care, for the evaluation and management of a patient 99238: Hospital inpatient or observation discharge day management 99239: Hospital inpatient or observation discharge day management 99242: Office or other outpatient consultation for a new or established patient 99243: Office or other outpatient consultation for a new or established patient 99244: Office or other outpatient consultation for a new or established patient 99245: Office or other outpatient consultation for a new or established patient 99252: Inpatient or observation consultation for a new or established patient 99253: Inpatient or observation consultation for a new or established patient 99254: Inpatient or observation consultation for a new or established patient 99255: Inpatient or observation consultation for a new or established patient 99281: Emergency department visit for the evaluation and management of a patient 99282: Emergency department visit for the evaluation and management of a patient 99283: Emergency department visit for the evaluation and management of a patient 99284: Emergency department visit for the evaluation and management of a patient 99285: Emergency department visit for the evaluation and management of a patient 99304: Initial nursing facility care, per day 99305: Initial nursing facility care, per day 99306: Initial nursing facility care, per day 99307: Subsequent nursing facility care, per day 99308: Subsequent nursing facility care, per day 99309: Subsequent nursing facility care, per day 99310: Subsequent nursing facility care, per day 99315: Nursing facility discharge management 99316: Nursing facility discharge management 99341: Home or residence visit for the evaluation and management of a new patient 99342: Home or residence visit for the evaluation and management of a new patient 99344: Home or residence visit for the evaluation and management of a new patient 99345: Home or residence visit for the evaluation and management of a new patient 99347: Home or residence visit for the evaluation and management of an established patient 99348: Home or residence visit for the evaluation and management of an established patient 99349: Home or residence visit for the evaluation and management of an established patient 99350: Home or residence visit for the evaluation and management of an established patient 99417: Prolonged outpatient evaluation and management service(s) time 99418: Prolonged inpatient or observation evaluation and management service(s) time 99446: Interprofessional telephone/Internet/electronic health record assessment and management service 99447: Interprofessional telephone/Internet/electronic health record assessment and management service 99448: Interprofessional telephone/Internet/electronic health record assessment and management service 99449: Interprofessional telephone/Internet/electronic health record assessment and management service 99451: Interprofessional telephone/Internet/electronic health record assessment and management service 99483: Assessment of and care planning for a patient with cognitive impairment 99484: Care management services for behavioral health conditions 99492: Initial psychiatric collaborative care management 99493: Subsequent psychiatric collaborative care management 99494: Initial or subsequent psychiatric collaborative care management 99495: Transitional care management services 99496: Transitional care management services HCPCS Codes: C7903: Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely E1905: Virtual reality cognitive behavioral therapy device G0316: Prolonged hospital inpatient or observation care evaluation and management service(s) G0317: Prolonged nursing facility evaluation and management service(s) G0318: Prolonged home or residence evaluation and management service(s) G0320: Home health services furnished using synchronous telemedicine G0321: Home health services furnished using synchronous telemedicine G0511: Rural health clinic or federally qualified health center (RHC or FQHC) only, general care management G0512: Rural health clinic or federally qualified health center (RHC or FQHC) only, psychiatric collaborative care model G2091: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period G2099: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period G2101: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period G2107: Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period G2116: Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period G2126: Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period G2184: Patient does not have a caregiver G2186: Patient /caregiver dyad has been referred to appropriate resources G2212: Prolonged office or other outpatient evaluation and management service(s) G2214: Initial or subsequent psychiatric collaborative care management G9403: Clinician documented reason patient was not able to complete 30 day follow-up H0051: Traditional healing service J0216: Injection, alfentanil hydrochloride, 500 micrograms M1021: Patient had only urgent care visits during the performance period M1146: Ongoing care not clinically indicated M1147: Ongoing care not medically possible M1148: Ongoing care not possible Q5008: Hospice care provided in inpatient psychiatric facility S3005: Performance measurement, evaluation of patient self assessment, depression T2047: Habilitation, prevocational, waiver HSSCHSS Codes: RXHCC134: Depression RXHCC132: Depression

Application of the Code: Use Case 1: The Creative Entrepreneur A successful entrepreneur, known for their innovative ideas and tireless work ethic, has been experiencing a period of heightened energy, creativity, and optimism. They are sleeping less than usual and feel exceptionally confident. Their colleagues remark about their increased productivity and positive demeanor, but they've also noticed some impulsive behaviors and financial decisions. This individual, despite their increased energy, is struggling to manage their business effectively due to impulsive decisions. They haven't experienced a complete loss of touch with reality and do not meet the criteria for a manic episode. The clinician, after careful evaluation, assigns code F34.1: Bipolar Affective Disorder, current episode hypomanic, due to the individual's experience of hypomania, including impaired judgment and impulsivity, impacting their daily life and work. Use Case 2: The Overworked Student A high-achieving college student has always been dedicated to their studies. However, in recent weeks, they have become increasingly energetic and restless. They are experiencing insomnia and report feeling exceptionally confident, which they believe is beneficial for their upcoming exams. They've been studying more than usual, attending every event on campus, and are more outgoing than usual. While this increase in activity and energy doesn't impact their studies negatively, it has been causing strain in their relationships and social life. Based on the student's history and symptoms, the therapist assigns code F34.1, recognizing the hypomanic episode without signs of psychosis or a full-blown manic episode. Use Case 3: The Worried Parent The parents of a teenager noticed a shift in their child's behavior in the past few weeks. They seem more outgoing and energetic than usual, exhibiting less need for sleep and becoming talkative and humorous. They are participating more actively in social events and have taken on many new hobbies. The parents worry that their child's energy levels might be affecting their academics, as their grades are dropping slightly. Despite the lack of major academic consequences, they are worried about their child's well-being. The clinician evaluates the teenager and assigns code F34.1, acknowledging the presence of hypomanic symptoms causing minor social and academic disturbances but not indicative of a full-blown manic episode.

Important Notes: This code should only be assigned to individuals who experience at least one hypomanic episode. The symptoms should last for at least four days and cause a change in their typical functioning. A complete medical history, a mental status exam, and psychological testing are necessary to exclude other possible diagnoses. The clinician should be familiar with the diagnostic criteria for mania and hypomania to properly apply this code. Substance use or another medical condition might contribute to the patient's symptoms. In these cases, the clinician should consider additional coding.

Disclaimer: This information is provided for educational purposes only and should not be considered medical advice. It is crucial to consult with a qualified healthcare professional for any medical concerns or conditions. This content is intended to be utilized by medical professionals and students seeking a detailed understanding of the ICD-10-CM code F34.1.