F31.4 Bipolar disorder, current episode depressed, severe, without psychotic features

ICD10CM code

#### Name of the Condition
- **Bipolar Disorder, Current Episode Depressed, Severe, Without Psychotic Features** (ICD-10 code F31.4)
- Also known as **Bipolar Depression without Psychotic Symptoms**

#### Summary
Bipolar disorder is a mental health condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). This specific episode involves severe depression without any psychotic features such as hallucinations or delusions.

#### Causes
The exact causes of bipolar disorder are not fully understood, but it is believed to result from a combination of genetic, biochemical, and environmental factors.

#### Risk Factors
- Family history of bipolar disorder or other mood disorders
- Periods of high stress or significant life changes
- Substance abuse

#### Symptoms
- Persistent feelings of sadness or hopelessness
- Loss of interest in most activities
- Changes in appetite or weight
- Fatigue or loss of energy
- Difficulty concentrating or making decisions
- Thoughts of death or suicide

#### Diagnosis
- Clinical assessment conducted by a mental health professional
- Evaluation of symptoms based on criteria set in the DSM-5
- Consideration of medical history and family history

#### Treatment Options
- **Medications**: Mood stabilizers, antidepressants, and atypical antipsychotics.
- **Psychotherapy**: Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) are commonly used.
- **Lifestyle modifications**: Regular sleep patterns and exercise to help stabilize mood.

#### Prognosis and Follow-Up
- Bipolar disorder requires ongoing management.
- Regular follow-up with healthcare providers ensures the effectiveness of a treatment plan and adjustments as needed.
- Continuous medication management and psychotherapy are often necessary.

#### Complications
- Increased risk of suicide
- Substance abuse issues
- Impacts on personal relationships and occupational performance

#### Lifestyle & Prevention
- Maintain a regular sleep and exercise schedule.
- Avoid drugs and alcohol.
- Develop a strong support network.

#### When to Seek Professional Help
- If there are changes in mood that interfere with daily life
- Occurrence of suicidal thoughts or behaviors
- Severe or sudden changes in mood, behavior, or energy levels

#### Additional Resources
- National Alliance on Mental Illness (NAMI)
- Depression and Bipolar Support Alliance (DBSA)

#### Tips for Medical Coders
- Ensure correct identification between bipolar disorder types; confirm the absence of psychotic features in documentation.
- Check for specificity in the current episode being depressive and severe.
- Common errors include confusing with other mood disorders or misclassifying the episode type.

Medical Policies and Guidelines for Bipolar disorder, current episode depressed, severe, without psychotic features

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