F31 vs F63.0
F31 (Bipolar disorder) compared with F63.0 (Pathological gambling), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. F63.0 carries an Excludes2 note covering F31: “excessive gambling by manic patients (F30, F31)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| F31Bipolar disorder | F63.0Pathological gambling | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) |
| Definition | Bipolar disorder is a non-billable ICD-10-CM category code (F31). | Pathological gambling is a billable ICD-10-CM diagnosis code (F63.0). |
| Includes | bipolar I disorder bipolar type I disorder manic-depressive illness manic-depressive psychosis | Compulsive gambling Gambling disorder |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources