ICD-10 Code F31.2 – Bipolar disorder, current episode manic severe with psychotic features (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F31.2 – Bipolar disorder, current episode manic severe with psychotic features
What it is
This code identifies bipolar disorder with a current manic episode that is severe and includes psychotic features. Use it when the record shows mania plus delusions, hallucinations, or other psychotic symptoms.
Clinical signs
Typical findings include elevated or irritable mood, increased activity, reduced need for sleep, pressured speech, and grandiosity. Psychotic features may be present; clinical features vary, so refer to documentation.
When to use this code
Use F31.2 when the provider documents bipolar disorder with a current manic episode and notes severe impairment with psychotic features. The diagnosis should clearly distinguish the episode from hypomania, mixed features, or remission.
If the chart does not specify psychosis or severity, check documentation before assigning this code. Code from the current episode documented by the clinician, not from history alone.
Do not use for
Do not use this code for bipolar disorder in remission, hypomanic episodes, or manic episodes without psychotic features. Check documentation if the note describes another mood disorder or an unspecified bipolar presentation.
Coding tip
Confirm both “severe” and “psychotic features” are documented before coding F31.2.