Schizoaffective disorder, bipolar type

This diagnosis code signifies a mental health condition characterized by a combination of psychotic symptoms, such as hallucinations or delusions, and mood symptoms consistent with bipolar disorder (e.g., manic, hypomanic, or depressive episodes). The psychotic symptoms must be present for at least two weeks in the absence of a major mood episode at some point during the illness.

Apply this code when documentation clearly indicates a diagnosis of schizoaffective disorder where the mood component primarily involves manic, hypomanic, or mixed episodes, with or without depressive episodes. The patient's clinical presentation must meet the diagnostic criteria for both schizophrenia and a bipolar type mood disorder, with a period of psychosis occurring independently of mood disturbances.

• Ensure documentation specifies "bipolar type" to differentiate from the depressive type.
• Do not code if the psychotic symptoms only occur exclusively during mood episodes; this would typically indicate a mood disorder with psychotic features.
• Review the entire medical record for a definitive diagnosis from a psychiatrist or qualified mental health professional.