---
title: "ICD-10-CM F31.5: Bipolar disorder, current episode… | BillingBrief"
description: "F31.5 is bipolar disorder in a current depressed episode that is severe and includes psychotic features. Without psychotic features, use F31.4."
canonical: "https://billingbrief.com/icd10/f31.5/"
language: "en"
---

# F31.5 Bipolar disorder, current episode depressed, severe, with psychotic features

ICD-10-CM · [CMS code reference](#source)

F31.5 is bipolar disorder in a current depressed episode that is severe and includes psychotic features. Without psychotic features, use F31.4.

## What to know

-   Psychotic symptoms documented as mood-congruent or mood-incongruent both stay under F31.5, as does bipolar I disorder, current or most recent episode depressed, with psychotic features.

## Coding notes

From the ICD-10-CM FY2027 (effective October 1, 2026) tabular list. Notes on a parent code or category apply here too.

### Also covers

-   Bipolar disorder, current episode depressed with mood-incongruent psychotic symptoms
-   Bipolar disorder, current episode depressed with mood-congruent psychotic symptoms
-   Bipolar I disorder, current or most recent episode depressed, with psychotic features

### Includes

-   bipolar I disorder
-   bipolar type I disorder
-   manic-depressive illness
-   manic-depressive psychosis
-   manic-depressive reaction
-   seasonal bipolar disorder

### Excludes1

Not coded together with this code. The exception is when the two conditions are unrelated to each other.

-   bipolar disorder, single manic episode (F30.-)
-   major depressive disorder, single episode (F32.-)
-   major depressive disorder, recurrent (F33.-)

### Excludes2

Not part of this code, but both can be coded when both are documented.

-   cyclothymia ([F34.0](https://billingbrief.com/icd10/f34.0/))

## Related codes

-   [`F31.30` Bipolar disorder, current episode depressed, mild or moderate severity, unspecified ICD-10-CM](https://billingbrief.com/icd10/f31.30/)
-   [`F31.31` Bipolar disorder, current episode depressed, mild ICD-10-CM](https://billingbrief.com/icd10/f31.31/)
-   [`F31.32` Bipolar disorder, current episode depressed, moderate ICD-10-CM](https://billingbrief.com/icd10/f31.32/)
-   [`F31.4` Bipolar disorder, current episode depressed, severe, without psychotic features ICD-10-CM](https://billingbrief.com/icd10/f31.4/)
-   [`F31.60` Bipolar disorder, current episode mixed, unspecified ICD-10-CM](https://billingbrief.com/icd10/f31.60/)
-   [`F31.61` Bipolar disorder, current episode mixed, mild ICD-10-CM](https://billingbrief.com/icd10/f31.61/)
-   [`F31.62` Bipolar disorder, current episode mixed, moderate ICD-10-CM](https://billingbrief.com/icd10/f31.62/)
-   [`F31.63` Bipolar disorder, current episode mixed, severe, without psychotic features ICD-10-CM](https://billingbrief.com/icd10/f31.63/)

## Common questions

### Is F31.5 a billable code?

Yes. F31.5 is a billable ICD-10-CM code in the ICD-10-CM FY2027 (effective October 1, 2026) code set.

## From the source

Official description from [CMS](https://www.cms.gov/medicare/coding-billing/icd-10-codes).
ICD-10-CM FY2027 (effective October 1, 2026).

Code set

ICD-10-CM

Category

F31 Bipolar disorder

Chapter

Mental, behavioral and neurodevelopmental disorders

Billable

Yes

Educational reference only. Not medical, legal, or billing advice. Always check the current official code set and payer policy before you bill. [About BillingBrief and our sources](https://billingbrief.com/about/).