Page 59 - e-book CPG - Bipolar Disorder

CLINICAL PRACTICE GUIDELINES MANAGEMENT OF BIPOLAR DISORDER (2ND ED.)

ICD-11 DSM-5-TR
 changes in appetite or sleep interest or pleasure. The other symptoms
 psychomotor agitation or retardation include:
 fatigue  disruption in appetite with accompanying
 worthlessness or excessive or inappropriate weight loss or gain
guilt feelings or hopelessness  sleep disturbance
 difficulty concentrating  psychomotor agitation or retardation
 suicidality  fatiguability
 feeling worthless or guilty
 reduced concentration or indecisiveness
 recurrent thoughts of death or suicidal ideas
or acts
6A60 Bipolar Type I Disorder Bipolar I Disorder

An episodic mood disorder defined by the Having met the criteria for at least one manic
occurrence of one or more manic or mixed episode.
episodes.  Current or most recent episode manic:
 6460.0 Bipolar type I disorder, current o F31.11 Mild
episode manic without psychotic symptoms o F31.12 Moderate
 6460.1 Bipolar type I disorder, current o F31.13 Severe
episode manic with psychotic symptoms o F31.2 With psychotic features
 6A60.2 Bipolar type I disorder, current o F31.73 In partial remission
episode hypomanic o F31.74 In full remission
 6460.3 Bipolar type I disorder, current  Current or most recent episode depressed:
episode depressive, mild o F31.31 Mild
 6460.4 Bipolar type I disorder, current o F31.32 Moderate
episode depressive, moderate without o F31.4 Severe
psychotic symptoms o F31.5 With psychotic features
 6460.5 Bipolar type I disorder, current o F31.75 In partial remission
episode depressive, moderate with o F31.76 In full remission
psychotic symptoms
 6460.6 Bipolar type I disorder, current F31.81 Bipolar II Disorder
episode depressive, severe without
psychotic symptoms Having met the criteria for hypomanic episodes
 6460.7 Bipolar type I disorder, current at least once and major depressive episode at
episode depressive, severe with psychotic least once,
symptoms
Specify current or most recent episode:
6A61 Bipolar Type II Disorder Hypomanic
Depressed
An episodic mood disorder is defined by the
occurrence of one or more hypomanic episodes Current or most recent episode hypomanic
and at least one depressive episode. F31.0 Not in remission
F31.71 In partial remission
Refer to ICD-11 for more coding. F31.72 in full remission

Specifiers (both BD I and II):
With anxious distress
With mixed features
With rapid cycling
With melancholic features
With atypical features
With mood-congruent psychotic features
With mood-incongruent psychotic features
With catatonia
With peripartum onset
With seasonal pattern

Refer to DSM-5-TR for more coding.
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