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

This code signifies a severe manifestation of bipolar disorder where the patient experiences a concurrent presentation of both manic and depressive symptoms. These mixed features are prominent and significantly impair functioning, but there are no delusions, hallucinations, or other psychotic symptoms present.

Use this code when documentation clearly indicates a current episode of bipolar disorder characterized by a full manic or hypomanic syndrome with at least three depressive symptoms, or a full major depressive episode with at least three manic or hypomanic symptoms. The severity must be explicitly documented as "severe" and the absence of psychotic features must be confirmed.

• Ensure the provider's documentation explicitly states "severe" and "without psychotic features" for the current mixed episode.
• Differentiate from F31.64 (with psychotic features) and F31.62 (moderate severity).
• Always review the entire diagnostic statement to confirm the specific type of bipolar disorder and the characteristics of the current episode.