Bipolar disord, currently in remis, most recent episode unsp

This code signifies a patient with a documented history of bipolar disorder who is currently experiencing a period of full or partial remission. The specific type of the most recent mood episode (manic, hypomanic, depressed) is not specified or is unknown. The patient is stable and not actively exhibiting symptoms of a mood episode.

Use this code when a patient with a known diagnosis of bipolar disorder is being seen for routine follow-up, medication management, or therapy during a period of symptom absence or significant improvement. Documentation should clearly state "bipolar disorder in remission" and indicate that the nature of the most recent episode is unspecified. This code is appropriate when the patient is stable and not in an acute episode.

• Do not use this code if the patient is currently experiencing any symptoms of a manic, hypomanic, or depressive episode; instead, code the active episode.
• Ensure documentation specifies "in remission" and that the type of the most recent episode is either unknown or not relevant to the current encounter.
• This code is often used as a secondary diagnosis when the primary reason for the encounter is related to other medical conditions or medication refills for maintenance therapy.