F31.5 – Bipolar disorder, current episode depressed, severe, with psychotic features

F31.5 – Bipolar disorder, current episode depressed, severe, with psychotic features

F31.5 is an ICD-10 code for Bipolar disorder, current episode depressed, severe, with psychotic features. Discover how to use this code in this guide.

By Harriet Murray on Jul 16, 2025.

Fact Checked by Ericka Pingol.

Use Code

F31.5 diagnosis code: Bipolar disorder, current episode depressed, severe, with psychotic features

F31.5 is a diagnostic code used in the International Classification of Diseases, 10th Revision (ICD-10) to classify a specific type of bipolar disorder. It represents bipolar disorder, current episode depressed, severe, with psychotic features.

Bipolar disorder is a mental health condition characterized by extreme mood swings that fluctuate between periods of depression and mania (or elevated mood). In this case, the individual is experiencing a current episode of depression, which is classified as severe due to the intensity and impact of the symptoms. 

Furthermore, the diagnostic code includes a mention of psychotic features. Psychotic features refer to hallucinations, delusions, or other forms of psychosis. These symptoms can occur during depressive or manic episodes in individuals with bipolar disorder. Psychotic symptoms during a depressive episode might include hallucinations or delusions related to themes of guilt, worthlessness, or nihilism.

Please note this code is for depressive episodes. You can't use this for cases like single manic episode. You also can't use it for cases with mild or moderate severity, since this is meant for severe cases.

Is F31.5 billable?

Yes, this ICD-10 code is billable.

Clinical information

Bipolar disorder with psychotic features is a mental health condition characterized by extreme mood, energy, and activity shifts. It is considered a severe form of bipolar disorder due to psychosis, which can be auditory or visual hallucinations, delusions, or disorganized thinking.

People with this condition may experience manic episodes where they feel extremely energized, euphoric, or irritable, and depressive episodes marked by low moods, lethargy, and anhedonia. Psychotic features manifest during these episodes and can include false beliefs about oneself or others (delusions) and hallucinations that involve seeing or hearing things that aren't real. These symptoms can dramatically impact the affected individual's daily life and relationships. 

Treatment typically involves medication to control symptoms and psychotherapy to help the patient develop healthy coping skills and better understand their condition. With appropriate treatment and support from family members and loved ones, individuals with bipolar disorder with psychotic features can lead fulfilling lives.

Synonyms include

  • Severe depressive episode with psychosis in bipolar disorder
  • Bipolar depression with psychotic symptoms
  • Bipolar I disorder, depressed episode with psychotic features
  • Bipolar disorder with severe depressive psychosis
  • Severe bipolar depression with psychotic manifestations
  • Current episode severe depression
  • Bipolar affective disorder accompanied by other mental and behavioural disorders
  • Bipolar affective disorder with mood congruent psychotic symptoms
  • Bipolar affective disorder, current episode depressed, with other mood disorders
  • Bipolar disorder, recent episode depressed, severe depressive episode

Popular search terms for F31.5

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  • ICD-10 code for Bipolar disorder, current episode depressed, severe, with psychotic features

Other ICD-10 codes commonly used for bipolar disorder

In addition to F31.5, there are other ICD-10 codes commonly used for different types and presentations of bipolar disorder. Here are some of them:

Related ICDs

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