bipolar

sindhusamsonsindhusamson
in CDI Talk Archive
Can anybody tell me the ICD-9 code for Bipolar disorder, manic depression. Thank you.

Cindy

Comments

  • digardskdigardsk
    edited May 2016
    If you are bipolar I, mixed = 296.6x

  • robert.hodges2robert.hodges2
    edited May 2016
    Bipolar disorder is 296.80, but there is a 5th digit category for 296.6X and Atypical is 296.7

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
     
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov
     
    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens

  • sindhusamsonsindhusamson
    if the physician did not specify it as I OR II, what is the ICD-9.
  • robert.hodges2robert.hodges2
    edited May 2016
    296.80

    Robert

    Robert S. Hodges, BSN, MSN, RN
    Clinical Documentation Improvement Specialist
    Aleda E. Lutz VAMC
    Mail Code 136
    1500 Weiss Street
    Saginaw MI 48602
     
    P: 989-497-2500 x13101
    F: 989-321-4912
    E: Robert.Hodges2@va.gov
     
    "The difference between the right word and the almost right word is the difference between lightning and the lightning bug." Samuel "Mark Twain" Clemens

  • sindhusamsonsindhusamson
    what should be the diagnosis term to get to 296.89 (CC).
  • Unknown
    edited May 2016
    Doing a direct code in the encoder:

    296.89 = bipolar disorder



  • kmaritankmaritan
    edited May 2016
    Bipolar II Disorder 286.89 CC Therefore, we have discussed here our clarification opportunities with this in order to capture the CC/severity. If just bipolar disorder is documented, we will write a clarification to further specify the bipolar disorder as type I or type II. We only ask these clarifications of hospitalists, internists, or intensivists. We would not address this with surgeons.

    Karen Maritano, RN
    Clinical Documentation Improvement Specialist
    Care Management
    Legacy Health
    phone 503-413-7154
    pager 503-983-0683

  • catladyrncatladyrn
    Karen, if it is type I, you would need further specificity as to whether the behavior is manic, depressive, etc. Just Bipolar I disorder without specification goes to 296.7, which is not a CC.

    Renee


    Linda Renee Brown, RN, CCRN, CCDS
    Certified Clinical Documentation Specialist
    Banner Good Samaritan Medical Center
  • kmaritankmaritan
    edited May 2016
    Thanks. I can see where there was some confusion in my original response because there was a type for the code I gave for Bipolar Disorder Type II. It should have read 296.89.
    In formulating our strategies, we were looking at the medical/surgical patients with just bipolar disorder documented. So, simply having it clarified as type I or type II, considering in most instances (except psych admits) the condition would be stabilized on meds, if it was Bipolar type 1 NOS (296.7) it would not be a CC, but if type II (296.89) it would be a CC. For the most part, without a psych consult, the other specificities would not known.
    Karen Maritano, RN
    Clinical Documentation Improvement Specialist
    Care Management
    Legacy Health
    phone 503-413-7154
    pager 503-983-0683

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