Cyclothymic disorder icd 10. 81 Disruptive Mood Dysregulation Disorder ; F34. Cyclothymic disorder icd 10

 
81 Disruptive Mood Dysregulation Disorder ; F34Cyclothymic disorder icd 10  This case definition was developed by the Armed Forces Health Surveillance Division (AFHSD) for the purpose of descriptive epidemiological reports on mental disorders and mental health problems among active duty Service members

Historically bipolar disorders (BP) included mania, BP-I, BP-II, hypomania and cyclothymic disorders. ICD-10 code F34. 8 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Dysthymia on its part is a chronic depression of moods that lasts for years. In order for a diagnosis of. Other persistent mood disorders. ICD-10-CM Diagnosis Code F39. aggressiveness. Bipolar disorder – The alternating mood syndromes ("mood swings") of bipolar I, bipolar II, or. F34. (M. 7 Dependent personality disorder. F34. F31 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. ICD-10-CM-2023: F34. F34. These mood swings can occur over the course of days, weeks, or even months and can interfere with a person’s ability to function normally in everyday life. ICD-10-CM Diagnosis Code F30. Affectiv personality NOS. 1 . 500 results found. The bipolar disorders listed in DSM III-R included bipolar disorder, cyclothymic disorder, and “bipolar disorder not otherwise specified. F34. F34. 398). Cyclothymia is a primary mood disorder that is connotated with great ambiguity and controversy. 1. Short Description: Cyclothymic disorder. Psychology questions and answers. Employment rates ranged from 40 to 75% (BD), 33 to. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 301. Anxiety depression (F41. Even if their symptomatology has long been recognized, diagnostic criteria have changed over time and diagnosis often remains difficult. Today APA released the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), a medical classification list by the World Health. Hollon, S. People suffering from cyclothymia experience cyclical fluctuations in their mood from mild depressive lows to hypomanic episodes. Dysthymic disorder: a comparison of. Total Hospitalizations with ICD 30113 - Cyclothymic disorder: 11: DRG Share of Total Hospitalizations: 0. Descriptive comparisons. Affectiv personality NOS. Access to this feature is available in the following products: Find-A-Code Essentials. 1 A type 1 excludes note is a pure excludes. You will undergo examinations and tests to diagnose your symptoms. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code F33. Cyclothymia. F31. 8 - other international versions of ICD-10 F34. ): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Manic episode. 11 to ICD-10-CM; 301. When documenting behavioral disorders, the following descriptors apply: Type: Depressive, manic, or bipolar disorder. ICD-11 Browser contains the ICD-11 (International Classification of Diseases 11th Revision) ICD-11 for Mortality and Morbidity Statistics (Version : 01/2023). 9 Persistent mood [affective] disorder, unspecified. 51: Vascular dementia with behavioral disturbance. F. F34. F31. 4 years (Table 1). The symptoms of this disorder are more chronic and less severe than those of bipolar disorder. 1% of adults in the country. Cyclothymic disorder as described in the ICD-10 essentially consists of mood swings, which do not fulfill criteria for BD or recurrent depressive disorders. 89. HCC Plus. Pediatric bipolar disorder greatly disrupts normal development and psychosocial functioning, and increases the risk for behavioral, academic, social, and legal problems, as well as psychosis, substance abuse, and suicide [ 3-5 ]. 2217/npy. F31. Three of the most common include Bipolar I disorder, Bipolar II disorder, and cyclothymic disorder (the fourth is known as unspecified bipolar disorder). 1 Schizoid personality disorder. F34. II Neoplasms. 0 for Cyclothymic disorder is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders . xiii, 33 (also delete coding note). ICD-10 considers the possi-bility of cyclothymia as either a disorder or a personality type [9] . Major changes from the ICD-10 include the recognition of bipolar I and bipolar II disorder as distinct codes and the inclusion of cyclothymia (previously listed in a separate subgrouping of persistent mood disorders) into the Bipolar Disorders category. retrieved. Get crucial instructions for accurate ICD-10-CM F31. F60. FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. 0 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Depressive symptoms of cyclothymia may include: irritability. Cyclothymic disorder: F4481: Dissociative identity disorder: F5000: Anorexia nervosa, unspecified: F5001: Anorexia nervosa, restricting type: F5002: Anorexia nervosa, binge eating/purging type:. MONDO_0004572. Cyclothymic disorder. The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), issued in. The above description is abbreviated. Showing 1-25: ICD-10-CM Diagnosis Code F39 [convert to ICD-9-CM] Unspecified mood [ affective] disorder. Both in the ICD-10 and DSM-5 many of the core symptoms, psychological consequences and behavioral abnormalities of cyclothymia are left. ICD-10 code: F31. 301. doi: 10. F60. 500 results found. 81 Disruptive Mood Dysregulation Disorder ; F34. Phase IV: Residual phase: symptoms of the acute stage are either absent or no longer prominent. Bipolar disorder, formerly known as manic depression, is a group of mental disorders that cause extreme mood fluctuations, from abnormally elevated highs known as mania or hypomania episodes to emotional lows known as depressive episodes. 01 is grouped within Diagnostic Related Group (s) (MS-DRG v41. 3% with BD-2, respectively (ratio: 1. g. III Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. Applicable To. 2. 61 is a billable diagnosis code used to specify bipolar disorder, current episode mixed, mild. Dysthymic disorder. 13 is a legacy non-billable code used to specify a medical diagnosis of cyclothymic disorder. Cyclothymic disorder is similar to bipolar disorder but is less severe. 9 Somatoform disorder, unspecified; F45. F34. These shifts can make it difficult to carry out day-to-day tasks. 72. Monarch Disease Ontology release 2018-06-29sonu. 0 is a valid billable ICD-10 diagnosis code for Cyclothymic disorder . ICD-11 Criteria for Cyclothymic Disorder (6A62) Cyclothymic disorder is characterised by a persistent instability of mood over a period of at least 2 years, involving numerous periods of hypomanic (e. Bipolar disorder. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 301. It refers to a widespread pattern of. 30 became effective on October 1, 2023. 5. Cyclothymic disorder is often thought of as a mild form of. ICD-10 AND DSM-IV APPROACHES In DSM-IV, dysthymic disorder is one of the depressive disorders and cyclothymic disorder is one of the bipolar dis-Mental or behavioral conditions that share some common features with bipolar disorder, and are therefore sometimes included within a possible bipolar spectrum, include: Highly recurrent or. poor appetite or overeating. 0 - Cyclothymic Disorder. 0 Cyclothymic disorder . This is the American ICD-10-CM version of F33. F34. 50; Vascular dementia without behavioral disturbance F01. . 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The diagnosis is then specified as to. ICD-10 code F34. The validity of pediatric bipolar subtypes may be of particular interest now, as DSM-5 and WHO/ICD-11 committees are meeting to determine the future classification system. 1 became effective on October 1, 2023. 74: F52. The term "cyclothymia" is being used with different meanings. doi: 10. 01: Readmission Rate with ICD F340 - Cyclothymic disorder: NA: Unplanned Readmission Rate at DRG: 9. F34. 81 Disruptive mood dysregulation disorder. The 2024 edition of ICD-10-CM F31 became effective on October 1, 2023. Billable - F34. F34. The 2024 edition of ICD-10-CM F31. Replace the ICD-10-CM codes as follows for Bipolar I disorder, Current or most recent episode hypomanic: • Change F31. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 301. Search All ICD-10; ICD-10-CM Diagnosis Codes; ICD-10-PCS Procedure Codes; ICD-10-CM Diagnosis Index; ICD-10-CM External Causes Index; ICD-10-CM Table of Drugs; ICD-10-CM Table of Neoplasms; HCPCS Codes; ICD-9-CM Diagnosis Codes; ICD-9-Vol-3 Procedure Code; Search All Data BIPOLAR DISORDERS . PDX Collection 4393 (continued) Mixed receptive-expressive language disorder. 89 - other international versions of ICD-10 F34. 13. F34. Cyclothymia is characterized by early onset, persistent, spontaneous and reactive mood fluctuations, associated with a variety of anxious and impulsive behaviors, resulting in a very rich and complex clinical presentation. Cyclothymia is an older diagnostic concept that describes either a temperamental predisposition or a milder disorder char-F34. 81 Disruptive mood dysregulation disorder F34. This is the American ICD-10-CM version of F34. Mixed states of bipolar affective disorder have been recognized since the earliest days of modern classification (Kraepelin, 1921; Weygandt,. Cyclothymic disorder. 雙相情緒障礙症 [5] (英語: bipolar disorder )又稱 双相情感障碍 、 雙極性情感性精神病 ,简称 双相障碍 、 双相症 [6] ,舊稱 躁鬱症 (英语:manic depression),属于一种 情緒障礙症 ,以经历“异常高涨的快乐期、情緒亢奮期”(躁期)和“抑郁期”(鬱期)的. It describes the benchmarks for the new version, particularly the foremost. Cyclothymia (/ ˌ s aɪ k l ə ˈ θ aɪ m i ə / siy-kluh-THIY-mee-uh), also known as cyclothymic disorder, psychothemia / psychothymia, bipolar III, affective personality disorder and cyclothymic personality disorder, is a mental and behavioural disorder that involves numerous periods of symptoms of depression and periods of symptoms of elevated. 12 Chronic depressive personality disorder convert 301. The section on bipolar disorders in the ICD-11 is labeled “bipolar and related disorders,” which is consistent with the Diagnostic and Statistical Manual of Mental. The diagnostic criteria for cyclothymic disorder remain confusing. 0 [convert to ICD-9-CM] Cyclothymic disorder Cyclothymia; Affective personality disorder; Cycloid personality;. Psychiatric Association, 2013) and ICD-10 (WHO, 1992), changes introduced by. ICD-10-CM: bipolar disorder (F31. Billable - F34. Code Details. This ICD-10 to ICD-9 data is based on the 2018 General Equivalency Mapping (GEM) files. Cyclothymic Disorder is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition), diagnosis assigned to individuals who experience mood cycling over a two year period, but have not met the diagnostic criteria for Bipolar I, Bipolar II, or Depressive disorder. In contrast dysthymias, chronic depressive disorders, are frequent (prevalence 3-6%) and cause considerable distress. Affective personality disorder, unspecified. Description ; F01. Cyclothymia. F60. This is the American ICD-10-CM version of F33. low. 14 Alcohol abuse with alcohol-induced mood disorder F10. The 2024 edition of ICD-10-CM R44. -); cyclothymia (F34. b. Page 493 of 689. ICD-10 COVERED DIAGNOSES TABLE EFFECTIVE OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 Enclosure 2. major depressive disorder, recurrent (F33. F34 Persistent mood [affective] disorders. 32: Delayed ejaculation: Delirium: 293. In 1977 Akiskal proposed a cyclothymic–bipolar spectrum and in 1981 Klerman suggested a mania spectrum ( Akiskal, 1977; Klerman, 1981 ). Health care providers can assist by taking detailed histories and coding behavioral health issues properly on claims. Major depressive disorder See the section on major depressive. Also cyclothymic disorder is regarded by some as a version of manic-depressive psychosis and therefore belongs with. Later ICD-10 followed this development, although one slight conceptual difference between ICD-10 and DSM-IV is that the former lists dysthymic and cyclothymic disorder under a common heading that stresses their chronic courses, while the latter focuses on the bipolar–unipolar distinction and therefore assigns the two disorders to. , euphoria, irritability, or expansiveness, psychomotor activation) and depressive (e. The ICD code F340 is used to code Cyclothymia. ”. F39 Unspecified mood [affective] disorder. the designation of disorder . Symptoms experienced by someone with cyclothymia can often negatively impact a person’s daily routine, causing issues at work. fatigue or low energy. The manual, which the APA has published and updated since 1952, defines and classifies mental disorders in order to improve diagnosis, treatment, and research. The same ICD-10-code F41. The concept of soft bipolarity used in this paper is an innovative concept which goes beyond DSM-IV and ICD-10,. . Bipolar I disorder involves episodes of severe mania and often depression. Bipolar 1 and 2 are the most common. Later ICD-10 followed this development, although one slight conceptual difference between ICD-10 and DSM-IV is that the former lists dysthymic and cyclothymic disorder under a common heading that stresses their chronic courses, while the latter focuses on the bipolar–unipolar distinction and therefore assigns the two disorders to two. Most people also, at other times, have one or more depressive episodes. -) manic episode ( F30. Developed with the help of more than 200. et al. F31. Suicidal ideation or attempts may also occur during. This is the American ICD-10-CM version of F34. ICD-10-CM coding: • Chapter 5 of the ICD-10-CM code set categorizes mental disorders. 0 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. ICD-10-CM F40. F34. Cyclothymic disorder is characterized by hypomanic and mini-depressive periods that last a few days, follow an irregular course, and are less severe than those in bipolar disorder; these symptom periods must occur for more than half the days during a period of ≥ 2 years. 1 Dysthymic disorder Mental and behavioral disorders can be grave in their consequences, and affect hundreds of millions of people worldwide. Not Valid for Submission. Cyclothymic disorder: F4481: Dissociative identity disorder: F5000: Anorexia nervosa, unspecified: F5001: Anorexia nervosa, restricting type: F5002: Anorexia nervosa, binge eating/purging type:. Bipolar disorder is a mental health condition defined by periods (or episodes) of extreme mood disturbances that affect mood, thoughts, and behavior. Bipolar disorders are a group of psychiatric disorders with profound negative impact on affected patients. Certain ICD-10 Codes Often Precede Multiple Sclerosis Diagnosis View All News > View All News >. Health care providers can assist by taking detailed histories and coding behavioral health issues properly on claims. that’s characterized by at least two years of multiple occurrences of hypomania and depressive symptoms. The diagnostic label of "bipolar affective disorders" in the International Classification of Diseases 10th Revision (ICD-10) was changed to “bipolar disorders” in the ICD-11. 83 Mood Disorder Due To . Alcohol use, unspecified with unspecified alcohol-induced disorder F11. 9433 Persistent depressive disorder (dysthymia). ICD-11 ID (MMS) 6A62. Stable moods should last for less than two months at a time. 0) – Also known as panic. 13 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 301. F34. The historic roots of dysthymic and cyclothymic disorders--part of the subaffective spectrum--are essentially Greek, but the first use of the word 'dysthymia' in psychiatry was by C. MS-DRG Manual Versions MS-DRG v39 (FY 2022) Manual. 4; ICD-10 N94. People suffering from this disorder are capable of experiencing only severe depression and not manic episodes. Those who have this disorder usually fail to recognize it as well as doctors who treat them due to the fine line between pathological and normal mood swings (Colino, 2005). Showing 1-25: ICD-10-CM Diagnosis Code P00. A diagnosis of cyclothymic disorder is given to individuals with periods of both hypomanic and depressive symptoms without meeting the full criteria for mania, hypomania or major. absence of underlying medical conditions, medication use, or substance abuse that could cause the mood disorder. , & Ponniah, K. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). 1 Affective personality disorderThe 2024 edition of ICD-10-CM F33. lack of energy, fatigue. F34. 10 ICD-9 Billable Affective personality. F34. disorder and cyclothymic disorder). The 2024 edition of ICD-10-CM F39 became effective on October 1, 2023. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. F34. It is a form of depression, so it is the combination of depressive symptoms with the time a person experiences them for that can lead to a diagnosis of dysthymia. 1 is the ICD-10 code for Dysthymic Disorder, also known as Persistent Depressive Disorder. DSM-IV Description DSM 5 Classification DSM- 5 CODE/ ICD 10 CODE DSM-5 Description Dissociative Disorders 291 Dissociative Disorders 300. Cyclothymia is a relatively rare disorder, affecting about 1% of the population. 8. 0 - Cyclothymic Disorder. Bipolar disorder (formerly called manic-depressive illness or manic depression) is a mental illness that causes unusual shifts in a person’s mood, energy, activity levels, and concentration. Today APA released the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR). It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . It is found in the 2024 version of the ICD-10 Clinical Modification (CM) and can be used in all HIPAA-covered transactions from Oct 01, 2023 - Sep 30, 2024 . Abnormal behavior can include. Unspecified anxiety disorder is coded using the ICD-10-CM code F41. F45. The ICD-10 and DSM-IV describe the cyclothymia (also called cyclothymic disorder) as a disorder that is characterized by a persistent instability of mood, involving numerous episodes of depression and episodes of elation (hypomania), in which the depressive or hypomanic episodes, however, are not that pronounced that they meet the criteria of. DSM. We hope you find it helpful, and thanks for stopping by! Search Page 1/1: F34. 5 Obsessive-compulsive personality disorder. the designation of disorder . Below are the ICD-10-CM coding guidelines for behavioral health conditions. It continues to be included in the latest version, the fifth edition of the DSM (DSM-5) under the category of bipolar and related disorders. ICD-10-CM Diagnosis Code F45. If yes, you could have cyclothymia, a mental illness sometimes mistaken for bipolar disorder. Diagnosis is clinical and based on history. Major depressive disorder See the section on major depressive. Cyclothymic disorder symptoms usually start to appear in adolescence or early adult life. It is also more likely to develop in females than males. 64; Last Update: 01-18-2019ICD-10 Mental Health Billable Diagnosis Codes in Alphabetical Order by Description. This is the American ICD-10-CM version of F34. 0. Cyclothymic disorder however is a subtype of bipolar disorder, and characterized by chronic but less extreme mood states [17, 18]. The examination of diagnostic criteria currently taking place for the revision of DSM-IV-TR and ICD-10 provides an opportunity to consider how to best conceptualize cyclothymic. This is the American ICD-10-CM version of F34 - other international versions of ICD-10 F34 may differ. This may be because there's a fine line between pathological and normal mood fluctuations. Code F34. bipolar disorder, single manic episode (F30. Bipolar disorder, current episode hypomanic. The section on bipolar disorders in the ICD-11 is labeled “bipolar and related disorders,” which is consistent with the Diagnostic and Statistical Manual of Mental. Avg LOS with ICD F340 - Cyclothymic disorder: 10. In fact, the term “hypomania” dates back to the 1880 s and was used in the psychiatric literature as a synonym for mild mania;. g. 8 result found: ICD-10-CM Diagnosis Code F34. 8. 0 is a billable diagnosis code used to specify a medical diagnosis of cyclothymic disorder. Similar to DSM-5-TR, cyclothymia in the ICD-11 involves persistent fluctuation between. 81 Disruptive mood dysregulation disorder. These include bipolar disorder,. International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2023-01. , euphoria, irritability, or expansiveness, psychomotor activation) and depressive (e. 10. 9 – Unspecified bipolar disorder. Yes, there are four types, each defined by their own symptoms and episodes. The primacy of the disorder is inherently nebulous as it shares diagnostic features with a multiplicity of disorders. F34. F34. Cyclic schizophrenia. characterized by alternating periods of elevated and depressed mood that are milder than those typical of bipolar disorder. 8 - other international versions of ICD-10 F30. 74 to . episodes may become superimposed on a persistent affective disorder. 506A) and patient’s intentional under dosing of medication regimen for other reason (Z91. According to DSM-5, if an individual with cyclothymic disorder. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10. These changes substantially harmonize the ICD-11 and DSM-5 systems, one overarching goal of the revision. This is the American ICD-10-CM version of F33. F34. F34. This ICD-10 to ICD-9 data is based on the 2018 General Equivalency Mapping (GEM) files published by the Centers for Medicare & Medicaid Services (CMS) for informational purposes only. In substance abuse treatment settings, you are likely to encounter clients with a variety of diagnoses of depressive illnesses. Cyclothymic Disorder. 19: Avg LOS at DRG: 10. This code was replaced on September 30, 2015 by its ICD-10 equivalent. 89 may differ. 1016/S0165-0327 (14)70004-7. Which of the following is true of cyclothymic disorders? a. Also called cyclothymic disorder. 8 Other somatoform disorders; F45. 500 results found. feelings of hopelessness. (2010). These mood swings can occur over the course of days, weeks, or even months and can interfere with a person’s ability to function normally in everyday life. 0 - other international versions of ICD-10. 81 Disruptive mood dysregulation disorder F34. F45 Somatoform disorders. Cyclothymic disorder is characterized by hypomanic and mini-depressive symptoms that last a few days, follow an irregular course, and are less severe than those in bipolar disorder; these symptom periods must occur for more than half the days during a period of ≥ 2 years. doi: 10. F34. ICD-11 will formally replace ICD-10 in 2022. To diagnose bipolar I disorder the presence of at least one past or present manic or mixed episode is mandatory. ICD 10 code for Major depressive disorder, recurrent severe without psychotic features. the designation of ‘disorder’. In a longitudinal study of people with cyclothymic disorder, less than 10% of participants experienced periods of “even” mood during the two-to-three year. Mayo Clinic Diagnosis Your doctor or other health care provider must determine if you have cyclothymia, bipolar I or II disorder, depression, or another. Yet the condition has traditionally been overlooked by those who have it and the doctors who've treated them. Mood stability shouldn't persist for longer than two months at a. An algorithm summarising the current ICD-11 and DSM-5 criteria for differential diagnosis in persistent depression is given in Box 1; Fig. Cyclothymic disorders Dysth~mic and cyclothymic disorders are clearly difer~ntlated by the p~esence of hypomanic symptoms, which exclude the diagnosis ofdysthymic disorder alhough hypomanic switches have been described in dysthymia (Akiskal and Weise, 1992' Markowitz et al 1992). 0 Cyclothymic disorder; Note: Bipolar II disorder has one. 89 . Cyclothymic disorder involves recurring symptoms of hypomania and depression, leading to an unstable mood. 19: Avg LOS at DRG: 10. MDD is one of the most common mental health disorders in the U. This is the American ICD-10-CM version of F39 - other international versions of ICD-10 F39 may differ. F34. The 2024 edition of ICD-10-CM F34. This was the first year ICD-10-CM was implemented into the HIPAA code set. 89. F34. F33. Primer. Please see conventional, complimentary and. ICD-10 COVERED DIAGNOSES TABLE EFFECTIVE OCTOBER 1, 2019 THROUGH SEPTEMBER 30, 2020 Enclosure 2 Press TAB to Diagnosis Code. F45. ICD-10-CM Diagnosis Code F45. F34 Persistent mood [affective] disorders. sleep disturbance. Contrary to DSM-5 definition based on recurrence of low grade hypomanic and depressive symptoms, cyclothymia is better defined in a neurodevelopmental perspective as an exaggeration of cyclothymic. Hence, this was the first time that bipolar diagnoses were supplemented with subtyped classifications such as Bipolar Disorder-Mixed, Bipolar. Schizoaffective disorder, manic type. Other types of bipolar disorders. Appendix C: Principal diagnoses which convert CC/MCC to non-CC. The following code (s) above F34 contain annotation back-references that may be applicable to F34 : F01-F99. 86: Unplanned Readmission Rate with ICD F340 - Cyclothymic disorder: NA: Total Medicare payments at DRG: $5,883,826,653:Cyclothymic disorder* - Bipolar disorder SOP;. IV Endocrine, nutritional and metabolic diseases. However, mixed episode continues to exist in ICD-11. ” The latter included bipolar II as a specific subtype.