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.”

The ICD-10-CM code F31.60 is used to diagnose bipolar disorder where the current episode presents as a mixed episode, featuring symptoms of both a manic episode and a major depressive disorder, but without a specified severity. This classification applies when documentation does not clarify whether the symptoms are mild, moderate, or severe.

Bipolar disorder, sometimes historically called manic depressive illness, includes a wide range of mood fluctuations, from mild major depressive disorder symptoms to full-blown current episode manic severe phases. This code may also be relevant for patients with a history of a single manic episode or other bipolar type disorder, including those transitioning from bipolar II disorder to more complex presentations.

Is the F31.60 billable?

Yes, F31.60 is a billable ICD-10-CM code appropriate for reimbursement purposes. It is used when a patient presents with a mixed episode of bipolar disorder without a specified severity level.

Clinical information

• Bipolar disorder, current episode mixed, occurs when a patient simultaneously exhibits signs of a manic episode (such as increased energy, grandiosity, or reduced need for sleep) and a major depressive disorder (such as persistent sadness, low energy, or feelings of worthlessness).
• The current episode manic symptoms are present but not sufficiently detailed to determine whether they meet criteria for the current episode manic severe.
• Manic depressive illness is a historical term still sometimes used to describe bipolar disorder, reflecting the presence of alternating manic and depressive phases.
• This diagnosis may apply to individuals initially classified under bipolar II disorder, especially if symptom complexity increases beyond the typical patterns of hypomanic episodes and major depressive episodes.
• Accurate classification is essential for building a proper treatment plan, which typically involves mood stabilizers, psychotherapy, and careful monitoring for progression toward full remission or partial remission.

Synonyms include

• Bipolar 1 disorder, mixed
• Bipolar disorder
• Mixed bipolar i disorder
• Rapid cycling 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