Bipolar disord, crnt epsd depress, severe, w psych features

This code signifies a severe manifestation of bipolar I disorder where the patient is currently experiencing a major depressive episode. The depressive symptoms are profound, significantly impairing functioning, and are accompanied by psychotic features such as delusions or hallucinations. This indicates a serious mental health crisis requiring intensive intervention.

Apply this code when documentation clearly indicates a diagnosis of bipolar I disorder with a current severe depressive episode, and specific mention of psychotic symptoms. This typically occurs in inpatient psychiatric settings or during acute outpatient crises. The medical record must explicitly state "severe" depression and "with psychotic features" in the context of bipolar disorder.

• Ensure the documentation specifies "bipolar I disorder" and not bipolar II, as the latter does not typically include psychotic features in depression.
• Verify that the psychotic features are congruent or incongruent with the mood state, though this code does not differentiate.
• Do not use this code if the psychotic features are present during a manic or mixed episode; different codes apply for those presentations.