Bipolar disord, crnt epsd manic w/o psych features, severe

This code signifies a severe presentation of bipolar I disorder, characterized by a distinct period of abnormally and persistently elevated, expansive, or irritable mood, and abnormally and persistently increased goal-directed activity or energy. The individual experiences significant impairment in social or occupational functioning, or requires hospitalization to prevent harm to self or others, but does not exhibit hallucinations, delusions, or disorganized thought.

Apply this code when documentation clearly indicates a diagnosis of bipolar I disorder with the patient currently experiencing a severe manic episode. The absence of psychotic features must be explicitly stated or clearly implied by the lack of documentation describing such symptoms. This code is appropriate when the severity of symptoms necessitates intensive intervention or significantly impacts daily life.

• Ensure the documentation specifies "severe" and explicitly rules out psychotic features for the current manic episode.
• Differentiate from moderate or mild manic episodes, which have distinct codes.
• Confirm the diagnosis is Bipolar I disorder, as Bipolar II involves hypomanic episodes.