ICD Code F31.30

ICD code F31.30 is used to classify a diagnosis of bipolar disorder where the current episode is depressed, with the severity being mild or moderate, but without further specification. This code helps healthcare providers document and communicate the specific nature of the bipolar disorder episode, which is essential for treatment planning and insurance billing.

1. Presence of Depressive Episode: The patient must be experiencing a current depressive episode. This includes a noticeable change from their usual behavior, characterized by a persistent low mood.

2. History of Bipolar Disorder: There should be a documented history of bipolar disorder, indicating that the patient has experienced at least one previous episode of mania or hypomania.

3. Severity of Depression: The current depressive episode should be classified as mild or moderate. This involves assessing the impact on daily functioning and the number of symptoms present.

4. Unspecified Features: The depressive episode should not have specific features that classify it under more detailed subcategories, such as melancholic or atypical features.

5. Duration of Symptoms: Symptoms should be present for a significant portion of the day, nearly every day, for at least two weeks.

6. Core Symptoms: The patient should exhibit at least two of the following core symptoms:

• Depressed mood
• Loss of interest or pleasure in most activities
• Decreased energy or fatigue

7. Additional Symptoms: In addition to core symptoms, the patient should have at least two of the following additional symptoms:

• Changes in appetite or weight
• Sleep disturbances (insomnia or hypersomnia)
• Psychomotor agitation or retardation
• Feelings of worthlessness or excessive guilt
• Difficulty concentrating or indecisiveness
• Recurrent thoughts of death or suicidal ideation

8. Exclusion of Other Causes: The symptoms should not be attributable to the physiological effects of a substance or another medical condition.

9. Impact on Functioning: The symptoms should cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

10. Differential Diagnosis: Ensure that the symptoms are not better explained by another mental disorder, such as schizoaffective disorder or schizophrenia.

For the ICD code F31.30, which pertains to bipolar disorder, current episode depressed, mild or moderate severity, unspecified, the relevant CPT codes that may be applicable for treatment include:

1. 90791 - Psychiatric diagnostic evaluation

2. 90792 - Psychiatric diagnostic evaluation with medical services

3. 90832 - Psychotherapy, 30 minutes with patient

4. 90834 - Psychotherapy, 45 minutes with patient

5. 90837 - Psychotherapy, 60 minutes with patient

6. 90839 - Psychotherapy for crisis, first 60 minutes

7. 90840 - Psychotherapy for crisis, each additional 30 minutes

8. 90846 - Family psychotherapy (without the patient present)

9. 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present)

10. 90853 - Group psychotherapy (other than of a multiple-family group)

11. 99201-99215 - Evaluation and management services, depending on the complexity and time spent

These CPT codes are commonly used in the treatment and management of conditions associated with the specified ICD code. It is important for healthcare providers to select the appropriate CPT code based on the specific services rendered and the clinical context.

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