2026 ICD-10-CM Diagnosis Code F30.2Manic episode, severe with psychotic symptoms

ICD-10-CM CodesF01–F99F30-F39F30

ICD-10-CM F30.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F30.2 is a billable ICD-10-CM diagnosis code for manic episode, severe with psychotic symptoms. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 885. As a secondary diagnosis, it counts as a complication or comorbidity (CC) and moves an inpatient stay to a higher severity level within its MS-DRG family. It does not count, however, when the principal diagnosis is one of 293 closely related codes. Coders also document this condition as elevated mood. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bipolar and related disorders.

For Medicare Advantage risk adjustment, F30.2 maps to CMS-HCC Category 152 (Psychosis, Except Schizophrenia) under the V28 model, adding a risk factor of about 0.484 for a community, non-dual, aged beneficiary in payment year 2026.

Code Identity

ICD-10-CM Code
F30.2
Billable Status
Yes — Valid for Submission
Code Describes
Manic episode, severe with psychotic symptoms
Short Description
Manic episode, severe with psychotic symptoms
Same as the full description in the CMS dataset.
Parent Code
Manic episode

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF30-F39Mood [affective] disorders
CategoryF30Manic episode
This CodeF30.2Manic episode, severe with psychotic symptoms

Medicare Risk Adjustment (HCC)Billing

F30.2 maps to a payment category in the CMS-HCC model used to risk-adjust Medicare Advantage payments. Weights are the published community factors for payment year 2026.

CMS-HCC V28 Category (Payment Model)
HCC 152— Psychosis, Except Schizophrenia
Payment HCC · PY 2026 one of 12 ICD-10-CM codes in this category
Risk Adjustment Factor (RAF) Weight
+0.484
community, non-dual, aged · ranges 0.208–0.579 across segments
Hierarchy
Superseded by HCC 151
a more severe related category takes the payment when both are reported
Prior Model (CMS-HCC V24)
HCC 59
V24 retired V28 pays 100% of MA risk scores since PY 2026
Other CMS Models
PACE (CMS-HCC V22): HCC 58 · ESRD (V21): HCC 58 · ESRD (V24): HCC 59
ESRD V21 weights: 0.091 dialysis, 0.217–0.260 functioning graft · ESRD V24 weights: 0.066 dialysis, 0.129–0.259 functioning graft
Part D (RxHCC)
RxHCC 131 — Bipolar Disorders
also risk-adjusts in the Part D prescription drug model (V08)

Source: CMS Payment Year 2026 risk adjustment mappings and model software. Weights are relative factors, not dollar amounts; a beneficiary's total RAF also includes demographics and interactions. Browse all CMS-HCC categories.

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Elevated mood
  • Manic disorder, single episode
  • Manic mood
  • Manic stupor
  • Manic symptoms co-occurrent and due to primary psychotic disorder
  • Severe bipolar I disorder, single manic episode with psychotic features
  • Severe bipolar I disorder, single manic episode with psychotic features, mood-congruent
  • Severe bipolar I disorder, single manic episode with psychotic features, mood-incongruent
  • Single manic episode, severe, with psychosis

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Manic stupor
  • Mania with mood-congruent psychotic symptoms
  • Mania with mood-incongruent psychotic symptoms

Index to Diseases and InjuriesGuidance

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR MBD003
Bipolar and related disorders
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Hypomania|Hypomanic Mood|Hypomanic Mood

    a less severe form of mania characterized by elevated mood, hyperactivity, and grandiosity. in contrast to mania, these symptoms do not cause significant impairment of the individual's productivity at work, or social and family relationships.
  • Manic Mood

    an emotional state characterized by marked to extreme elevation of mood with noticeable effect of functioning.

Patient EducationClinical

Bipolar Disorder

Bipolar disorder is a mood disorder that can cause intense mood swings:

The full article covers:

  • What is bipolar disorder?
  • What are the types of bipolar disorder?
  • What causes bipolar disorder?
  • Who is at risk for bipolar disorder?
  • What are the symptoms of bipolar disorder?
  • How is bipolar disorder diagnosed?
  • What are the treatments for bipolar disorder?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert F30.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
296.04 Bipo I sin man-sev w psy
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About F30.2Overview

What is the ICD-10 code for manic episode, severe with psychotic symptoms?

The ICD-10-CM code for manic episode, severe with psychotic symptoms is F30.2 (sometimes written as F302). It is billable on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

Is F30.2 (Manic episode) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report manic episode, severe with psychotic symptoms on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does F30.2 group to?

When manic episode, severe with psychotic symptoms is the principal diagnosis on an inpatient stay, it groups to MS-DRG 885 (psychoses), which carries a relative weight of 1.3968. Higher weights mean higher Medicare reimbursement.

Is F30.2 a CC or MCC?

CMS lists F30.2 as a CC (complication or comorbidity) for FY 2026. Reported as a secondary diagnosis, it moves the inpatient stay to a higher-weighted DRG within its severity family. It does not count when the principal diagnosis is one of the 293 closely related codes in its exclusion list.

What is the ICD-9 equivalent of F30.2?

Under the General Equivalence Mappings, manic episode, severe with psychotic symptoms converts to ICD-9-CM 296.04 (bipo I sin man-sev w psy). The mapping is approximate, so confirm the match fits the documentation.

What HCC is F30.2?

F30.2 (manic episode, severe with psychotic symptoms) maps to CMS-HCC Category 152 (Psychosis, Except Schizophrenia), commonly written as HCC 152, in the CMS-HCC V28 model used for Medicare Advantage risk adjustment in payment year 2026. It mapped to HCC 59 under the retired V24 model. It also maps in the PACE (CMS-HCC V22), ESRD (V21), and ESRD (V24) models. In the Part D prescription drug model it maps to RxHCC 131.

Does F30.2 risk-adjust for Medicare Advantage payment?

Yes. When documented and reported on a Medicare Advantage encounter, F30.2 adds a risk adjustment factor of about 0.484 to the beneficiary's RAF score for a community, non-dual, aged enrollee (published V28 weights range from 0.208 to 0.579 depending on the payment segment). A more severe related category (HCC 151) supersedes it when both are reported. See the full factor table on the HCC 152 category page.