Bipolar disord, crnt epsd depress, sev, w/o psych features

This code signifies a severe depressive episode occurring within the context of bipolar I disorder, where the patient is experiencing significant functional impairment. The depressive symptoms are prominent and debilitating, but there is an absence of hallucinations, delusions, or other psychotic phenomena. This diagnosis indicates a current major depressive episode following at least one manic or mixed episode.

Apply this code when documentation clearly indicates a diagnosis of bipolar I disorder with the patient currently experiencing a severe depressive episode. The medical record must explicitly state the absence of psychotic features. This code is appropriate when the patient's symptoms meet criteria for a major depressive episode and significantly impact their daily life, such as inability to work or maintain personal hygiene.

• Ensure documentation specifies "without psychotic features" to differentiate from codes indicating psychotic symptoms.
• Do not confuse with major depressive disorder codes; the presence of a history of manic or mixed episodes is crucial for bipolar disorder.
• Proper sequencing is important if other conditions are being treated concurrently; this code typically represents the primary mental health diagnosis.