F31.60 – Bipolar disorder, current episode mixed, unspecified

The ICD-10-CM code F31.60 diagnoses a patient with Insomnia caused by another mental disorder. Learn what this code entails by reading this short guide.

By Jamie Frew on Feb 29, 2024.

Fact Checked by Ericka Pingol.

Use Code
F31.60  – Bipolar disorder, current episode mixed, unspecified

F31.60 Diagnosis Code: Bipolar disorder, current episode mixed, unspecified

The F31.60 is an ICD code included in the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) used to designate “Bipolar disorder, current episode mixed, unspecified.”

Sudden and intense mood swings characterize Bipolar Disorder. In the context of Bipolar Disorder, we call these mood swings “episodes.”

During a manic episode, individuals with Bipolar Disorder experience heightened levels of energy, leading them to be active and eager to engage in various activities. Additionally, they may also exhibit irritability.

In contrast, a depressive episode is characterized by feelings of sadness, low mood, and a sense of worthlessness or emptiness. At its most extreme, this episode may induce a profound sense of despair. Furthermore, individuals in a depressive episode often display indifference towards almost everything, if not complete disinterest.

It is worth noting that some individuals with Bipolar Disorder may experience both manic and depressive moods simultaneously.

Regarding the specific ICD-10 code context, the patient is presently undergoing concurrent manic and depressive episodes, with the severity of the episode not specified or determined at the time of diagnosis.

Is the F31.60 billable?

Yes, the F31.60 ICD-10 code is billable and can be used to designate a patient for reimbursement purposes.

F31.60 clinical information:

If a patient has a mixed Bipolar Disorder episode, they will likely have the following symptoms:

  1. During the manic phase:
  • They feel jumpy
  • They have racing thoughts
  • They talk fast and loudly
  • They are up and have this desire to be out and about
  • They sleep less or don’t need that much sleep
  • They feel self-important (in varying degrees)
  • They are highly irritable
  • They are prone to doing things excessively or engaging in risky activities
  1. During the depressive phase:
  • They feel sad
  • They feel despair
  • They feel lonely and will isolate themselves sometimes
  • They have little to no energy
  • They sleep for too long
  • They eat too little or too much
  • They feel disinterested in almost everything
  • They have thoughts of self-harm

To determine if a patient has Bipolar Disorder, healthcare professionals and providers will conduct physical exams, and psychiatric assessments.

Once it is confirmed that the patient has Bipolar Disorder, they’re having a mixed episode, and the severity of their episode is currently unspecified or unknown, then this ICD-10 code can be used.

Treatment will depend on the severity of the patient, so it’s best to determine how adverse the Bipolar Disorder is.

F31.60 synonyms include:

  • Bipolar affective disorder, current episode mixed
  • Bipolar affective disorder, most recent episode mixed
  • Bipolar I disorder, most recent episode mixed with postpartum onset
  • Mixed bipolar affective disorder
  • Mixed bipolar I disorder

Other ICD-10 codes commonly used for Bipolar Disorder with mixed episodes:

  • F31 - Bipolar disorder
  • F31.6 - Bipolar disorder, current episode mixed
  • F31.61 - Bipolar disorder, current episode mixed, mild
  • F31.62 - Bipolar disorder, current episode mixed, moderate
  • F31.63 - Bipolar disorder, current episode mixed, severe, without psychotic features
  • F31.64 - Bipolar disorder, current episode mixed, severe, with psychotic features
  • F31.77 - Bipolar disorder, in partial remission, most recent episode mixed
  • F31.78 - Bipolar disorder, in full remission, most recent episode mixed
Electronic Health Records Software

Commonly asked questions

Is the F31.60 a billable ICD-10 code?

Yes, this ICD-10 code is billable.

When do you use the F31.60 ICD-10 code?

You use it when your patient is confirmed to have Bipolar Disorder, they’re currently having a mixed episode (meaning they are both depressed and manic), and the severity of this episode is unspecified.

What are the common treatments for F31.60?

Treatment for this disorder will depend on the severity, but normally, treatment includes medication (mood stabilizers and antipsychotics) and psychotherapy. Severe cases may involve hospitalization. In the case of this ICD-10 code, the severity is currently unspecified, so the healthcare provider must determine the severity before deciding what to add to a treatment plan.

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