Bipolar disord, crnt episode mixed, severe, w psych features

This code signifies a severe form of bipolar disorder where manic and depressive symptoms occur simultaneously or in rapid succession. The patient experiences significant functional impairment and exhibits psychotic features such as delusions or hallucinations during this mixed episode.

Apply this code when documentation clearly indicates a current mixed episode of bipolar disorder with severe symptomology, including the presence of psychotic features. This diagnosis requires a comprehensive psychiatric evaluation confirming the co-occurrence of manic and depressive symptoms and the presence of psychosis.

• Ensure documentation explicitly states "mixed features" and "psychotic features" in the current episode.
• Distinguish from F31.62 (severe, without psychotic features) and F31.60 (unspecified severity, with psychotic features).
• Always sequence this code as the primary diagnosis when it is the reason for the encounter.