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6A60 Bipolar type I disorder

International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2024-01

Bipolar type I disorder is an episodic mood disorder defined by the occurrence of one or more manic or mixed episodes. A manic episode is an extreme mood state lasting at least one week unless shortened by a treatment intervention characterised by euphoria, irritability, or expansiveness, and by increased activity or a subjective experience of increased energy, accompanied by other characteristic symptoms such as rapid or pressured speech, flight of ideas, increased self-esteem or grandiosity, decreased need for sleep, distractibility, impulsive or reckless behaviour, and rapid changes among different mood states (i.e., mood lability). A mixed episode is characterised by the presence of several prominent manic and several prominent depressive symptoms consistent with those observed in manic episodes and depressive episodes, which either occur simultaneously or alternate very rapidly (from day to day or within the same day). Symptoms must include an altered mood state consistent with a manic and/or depressive episode (i.e., depressed, dysphoric, euphoric or expansive mood), and be present most of the day, nearly every day, during a period of at least 2 weeks, unless shortened by a treatment intervention. Although the diagnosis can be made based on evidence of a single manic or mixed episode, typically manic or mixed episodes alternate with depressive episodes over the course of the disorder.

exclusions

• Cyclothymia  (6A62)
• Bipolar type II disorder  (6A61)

sections/codes in this section (6A60-6A60)

• Bipolar type I disorder, current episode manic, without psychotic symptoms  (6A60.0)
• Bipolar type I disorder, current episode manic, with psychotic symptoms  (6A60.1)
• Bipolar type I disorder, current episode hypomanic  (6A60.2)
• Bipolar type I disorder, current episode depressive, mild  (6A60.3)
• Bipolar type I disorder, current episode depressive, moderate without psychotic symptoms  (6A60.4)
• Bipolar type I disorder, current episode depressive, moderate with psychotic symptoms  (6A60.5)
• Bipolar type I disorder, current episode depressive, severe without psychotic symptoms  (6A60.6)
• Bipolar type I disorder, current episode depressive, severe with psychotic symptoms  (6A60.7)
• Bipolar type I disorder, current episode depressive, unspecified severity  (6A60.8)
• Bipolar type I disorder, current episode mixed, without psychotic symptoms  (6A60.9)
• Bipolar type I disorder, current episode mixed, with psychotic symptoms  (6A60.A)
• Bipolar type I disorder, currently in partial remission, most recent episode manic or hypomanic  (6A60.B)
• Bipolar type I disorder, currently in partial remission, most recent episode depressive  (6A60.C)
• Bipolar type I disorder, currently in partial remission, most recent episode mixed  (6A60.D)
• Bipolar type I disorder, currently in partial remission, most recent episode unspecified  (6A60.E)
• Bipolar type I disorder, currently in full remission  (6A60.F)
• Other specified bipolar type I disorder  (6A60.Y)
• Bipolar type I disorder, unspecified  (6A60.Z)

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