ICD-10 Code F30.2 – Manic episode, severe with psychotic symptoms (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code F30.2 – Manic episode, severe with psychotic symptoms
What it is
F30.2 identifies a manic episode that is severe and includes psychotic symptoms. Use it when the record describes elevated or irritable mood with marked impairment and delusions, hallucinations, or other psychotic features.
Clinical signs
Typical findings include abnormally increased energy, decreased need for sleep, pressured speech, racing thoughts, grandiosity, and risky behavior. Psychotic features may be mood-congruent or mood-incongruent; clinical features vary, so refer to documentation.
When to use this code
Use this code when the provider documents a manic episode with severe functional disruption and psychosis. It is appropriate for inpatient, emergency, or outpatient notes that clearly state mania with psychotic symptoms. Check documentation if severity or psychosis is unclear.
Do not use for
Do not use F30.2 for hypomania, bipolar depression, or mania without psychotic symptoms. Also avoid it when psychosis is due to another condition and the note does not identify a manic episode.
Coding tip
Code only when both severe mania and psychotic symptoms are documented; if either element is missing, query the provider or check documentation.