Bipolar disord, in full remis, most recent episode hypomanic

This code describes bipolar I disorder where the patient has experienced a hypomanic episode as their most recent mood episode, and they are currently experiencing a full remission of symptoms. Full remission indicates that the patient has not experienced any significant signs or symptoms of a mood disturbance for at least two months.

Use this code when documentation clearly indicates a diagnosis of bipolar I disorder, the most recent mood episode was hypomanic, and the patient is currently in a state of full remission. This typically applies to follow-up encounters where the patient's mood has stabilized and they are asymptomatic.

• Ensure the documentation explicitly states "full remission" and specifies the "most recent episode" as hypomanic.
• Do not use this code if the patient is in partial remission or if the most recent episode was manic or depressive.
• Always review the entire medical record to confirm the type of bipolar disorder (I vs. II) and the nature of the most recent episode.