2026 ICD-10-CM Diagnosis Code F31.64Bipolar disorder, current episode mixed, severe, with psychotic features

ICD-10-CM Codes›F01–F99›F30-F39›F31

ICD-10-CM F31.64
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

F31.64 is a billable ICD-10-CM diagnosis code for bipolar disorder, current episode mixed, severe, with psychotic features. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Bipolar and related disorders.

Code Identity

ICD-10-CM Code
F31.64
Billable Status
Yes — Valid for Submission
Code Describes
Bipolar disorder, current episode mixed, severe, with psychotic features
Short Description
Bipolar disord, crnt episode mixed, severe, w psych features
Parent Code
F31.6
Bipolar disorder, current episode mixed

Code Classification

ChapterF01–F99Mental and behavioural disorders
SectionF30-F39Mood [affective] disorders
CategoryF31Bipolar disorder
This CodeF31.64Bipolar disorder, current episode mixed, severe, with psychotic features

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Bipolar affective disorder, current episode mixed
  • Bipolar affective disorder, most recent episode mixed
  • Bipolar I disorder, most recent episode mixed with catatonic features
  • Mixed bipolar affective disorder, severe, with psychosis
  • Mixed bipolar I disorder
  • Severe bipolar disorder with psychotic features, mood-congruent
  • Severe bipolar disorder with psychotic features, mood-incongruent
  • Severe mixed bipolar I disorder
  • Severe mixed bipolar I disorder with psychotic features
  • Severe mixed bipolar I disorder with psychotic features, mood-congruent
  • Severe mixed bipolar I disorder with psychotic features, mood-incongruent
  • Severe mood disorder with psychotic features
  • Severe mood disorder with psychotic features, mood-congruent

Tabular List NotesGuidance

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

Inclusion Terms

  • Bipolar disorder, current episode mixed with mood-congruent psychotic symptoms
  • Bipolar disorder, current episode mixed with mood-incongruent psychotic symptoms

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • bipolar (I) (seasonal) (type 1)
        • current (or most recent) episode
          • mixed
            • severe (without psychotic features)
              • with psychotic features

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

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 F31.64 to ICD-9-CMHistory

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

ICD-9-CM
296.64 Bipol I cur mixed w psy
Exact Match The mapping is direct, with no qualifiers.

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 F31.64Overview

Is F31.64 (Bipolar disorder, current episode mixed) a billable code?

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

What is the ICD-9 equivalent of F31.64?

Under the General Equivalence Mappings, bipolar disorder, current episode mixed, severe, with psychotic features converts to ICD-9-CM 296.64 (bipol I cur mixed w psy). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.