Manic episode, severe, without psychotic symptoms

This code represents a distinct period of abnormally and persistently elevated, expansive, or irritable mood, and abnormally and persistently increased goal-directed activity or energy, lasting at least one week and present most of the day, nearly every day. The severity of these symptoms causes marked impairment in social or occupational functioning, or necessitates hospitalization to prevent harm to self or others, but without the presence of hallucinations or delusions.

Apply this code when documentation clearly indicates a severe manic episode without any psychotic features. This diagnosis requires the presence of at least three (or four if the mood is only irritable) specific manic symptoms (e.g., grandiosity, decreased need for sleep, pressured speech, flight of ideas, distractibility, increased activity, excessive involvement in pleasurable activities) that cause significant functional impairment.

• Ensure the documentation explicitly states the absence of psychotic features (e.g., "no hallucinations," "no delusions").
• Differentiate from hypomanic episodes (F30.0), which are less severe and do not cause marked functional impairment or require hospitalization.
• Always review the full diagnostic criteria for manic episodes in the clinical documentation to confirm severity and the absence of psychosis.