F31.5 vs R44
F31.5 (Bipolar disorder, current episode depressed, severe, with psychotic features) compared with R44 (Other symptoms and signs involving general sensations and perceptions), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. R44 carries an Excludes1 note covering F31.5: “hallucinations in mood disorders with psychotic symptoms (F30.2, F31.5, F32.3, F33.3)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| F31.5Bipolar disorder, current episode depressed, severe, with psychotic features | R44Other symptoms and signs involving general sensations and perceptions | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | F01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) | R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99) |
| Definition | Bipolar disorder, current episode depressed, severe, with psychotic features is a billable ICD-10-CM diagnosis code (F31.5). | Other symptoms and signs involving general sensations and perceptions is a non-billable ICD-10-CM category code (R44). |
| Includes | bipolar I disorder bipolar type I disorder manic-depressive illness manic-depressive psychosis | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources