Caplyta (lumateperone) ICD-10 codes depend on the patient’s diagnosis being treated (ICD-10 codes are for diseases/conditions, not for the drug).
If you tell me the condition (for example, bipolar depression vs schizophrenia) and the exact diagnosis wording your clinician uses, I can point to the most likely ICD-10 code.
What ICD-10 codes are commonly used with Caplyta?
Caplyta is used for psychiatric conditions, so the ICD-10 code usually falls under one of these areas:
- Bipolar disorder (commonly for bipolar depression)
- Schizophrenia (when used for schizophrenia)
Common examples (confirm with the specific diagnosis):
- Bipolar depression: ICD-10 codes in the F31.3–F31.9 range (bipolar disorder, depressive episode)
- Schizophrenia: ICD-10 codes in the F20.0–F20.9 range
Why the “Caplyta ICD-10 code” answer changes
Two patients can both take Caplyta but have different ICD-10 codes depending on:
- the exact condition (bipolar depression vs schizophrenia)
- whether the clinician documents “in partial remission,” “with psychotic features,” etc.
- whether it’s the diagnosis at the encounter vs a past condition
Quick way to get the right code
Send either:
1) the ICD-10 diagnosis text from the prescription/visit note, or
2) the condition you’re coding (e.g., “bipolar depression” or “schizophrenia”)
and I’ll map it to the most appropriate ICD-10 code.