- F30
- Mood Disorders
Manic Episode (F30)
DSM-5-TR: Bipolar and Related Disorders
ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.
Key Facts
- ICD-10 RangeF30-F39
- Subcodes5 subcodes
- Australian PrevalenceSingle manic episodes are uncommon — most progress to bipolar disorder (F31). Bipolar spectrum affects ~1.8% of Australian adults.
- Global PrevalenceLifetime prevalence of a single manic episode without recurrence is rare; most are reclassified as bipolar disorder.
- Duration RequirementAt least one week for mania (F30.1/F30.2); several days for hypomania (F30.0)
Overview
A manic episode involves a distinct period of abnormally elevated, expansive, or irritable mood with persistently increased goal-directed activity or energy. It represents a noticeable change from the individual's usual behaviour and is sufficiently severe to cause impairment in social or occupational functioning.
Diagnostic Criteria (ICD-10)
Core Features
- Abnormally elevated, expansive, or irritable mood
- Increased energy or goal-directed activity
- Decreased need for sleep
- Pressured speech or flight of ideas
- Distractibility and psychomotor agitation
- Inflated self-esteem or grandiosity
- Excessive involvement in high-risk activities
Duration At least one week for mania (F30.1/F30.2); several days for hypomania (F30.0)
Severity Specifiers
- Hypomania (F30.0): elevated mood without marked impairment
- Mania without psychosis (F30.1): significant functional impairment
- Mania with psychosis (F30.2): delusions or hallucinations present
Exclusion Criteria
- Not attributable to psychoactive substance use (F10-F19)
- Not due to organic mental disorder (F00-F09)
ICD-10-AM Subcodes
| Code | Name | Description |
|---|---|---|
| F30.0 | Hypomania | A lesser degree of mania with persistently elevated or irritable mood lasting at least several days, not severe enough to cause marked impairment or require hospitalisation. |
| F30.1 | Mania without psychotic symptoms | Elevated or irritable mood clearly abnormal for the individual, sustained for at least one week, with significant functional impairment but no hallucinations or delusions. |
| F30.2 | Mania with psychotic symptoms | Severe manic episode accompanied by delusions (usually grandiose) or hallucinations (usually voices), often requiring inpatient care. |
| F30.8 | Other manic episodes | Manic presentations that do not fully meet criteria for the above subcategories. |
| F30.9 | Manic episode, unspecified | Manic episode where the specific subtype is not determined. |
Classification Boundaries
Includes
- Hypomania
- Mania NOS
- Mania without psychotic symptoms
- Mania with psychotic symptoms
Excludes1 (coded elsewhere)
- Bipolar affective disorder (F31)
- Cyclothymia (F34.0)
Australian Clinical Context
In Australian clinical practice, manic episodes are typically managed by psychiatrists, with MBS items covering initial psychiatric consultations (item 291 with mandatory management-plan letter; the 296 family — 296 in-rooms, 297 hospital, 299 other location — for new-patient comprehensive consultations) and ongoing management (300-family time-banded follow-up, plus telehealth equivalents 91827–91831 video and 91837–91839 phone). RANZCP clinical practice guidelines for mood disorders provide Australian-specific treatment recommendations. GPs play a key role in early identification and referral under Better Access to Mental Health Care (MHTP preparation items 2715 / 2717; review pathway under items 23 / 36 / 44 with AN.0.56 advisory timing).
Medicare (MBS) Pathways
Better Access to Mental Health Care
The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.
10 individual + 10 group sessions per calendar year
| Provider Type | MBS Items | Session Type |
|---|---|---|
| Clinical Psychologist | 80000–80025 | Psychological therapy (higher rebate) |
| Registered Psychologist | 80100–80123 | Focused psychological strategies |
| Occupational Therapist | 80125–80145 | Focused psychological strategies |
| Social Worker | 80150–80175 | Focused psychological strategies |
| Psychiatrist | 291, 296–299, 300–308 | Psychiatric consultation |
GP referral items: 2700, 2701, 2715, 2717
Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.
Exclusions:
- Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
- Dementia and organic mental disorders (use specialist referral pathway)
- Tobacco use disorder
Grounded Scribe suggests the right MBS item codes from your recording so you can claim accurately without re-keying.
Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.
Clinical Documentation Notes
When documenting manic episodes, record the duration and severity of symptoms, any psychotic features, level of functional impairment, risk assessment (including financial decisions and interpersonal behaviour), and the presence of insight. Distinguish from hypomanic episodes (F30.0) which do not require hospitalisation or cause marked impairment.
Related Diagnostic Codes
ICD-10-AM diagnostic codes commonly associated with the Manic Episode (F30).
Frequently Asked Questions
What is the difference between F30 and F31?
F30 is used for a single manic episode without a history of prior mood episodes. F31 (Bipolar Affective Disorder) is used when there is a history of at least two mood episodes, one of which is manic or hypomanic. In clinical practice, F31 is more commonly coded for ongoing management.
References
- World Health Organization. ICD-10-AM: International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification.
- Royal Australian and New Zealand College of Psychiatrists. Clinical Practice Guidelines for Mood Disorders.
- American Psychiatric Association. DSM-5-TR. 2022.
This tool calculates scores based on published guidelines for professional reference. It does not provide clinical diagnoses. Scores are provided as reference information only and should be interpreted by a qualified practitioner in the context of a comprehensive assessment.
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