106 Schizophrenia Spectrum and Other Psychotic Disorders
Specify whether:
295.70 (F25.0)  Bipolar type:  This subtype applies if a manic episode is part of the pre-
sentation. Major depressive episodes may also occur.
295.70 (F25.1)  Depressive type:  This subtype applies if only major depressive epi-
sodes are part of the presentation.
Specify if:
With catatonia  (refer to the criteria for catatonia associated with another mental disorder,
pp. 119–120, for definition).
Coding note:  Use additional code 293.89 (F06.1) catatonia associated with
schizoaffective disorder to indicate the presence of the comorbid catatonia.
Specify if:
The following course specifiers are only to be used after a 1-year duration of the disorder
and if they are not in contradiction to the diagnostic course criteria.
First episode, currentl y in acute episode:  First manifestation of the disorder meet-
ing the defining diagnostic symptom and time criteria. An acute episode  is a time pe-
riod in which the symptom criteria are fulfilled.
First episode, currently in partial remission:  Partial remission  is a time period dur-
ing which an improvement after a previous episode is maintained and in which the de-
fining criteria of the disorder are only partially fulfilled.
First episode, currently in full remission:  Full remission is a period of time after a
previous episode during which no disorder-specific symptoms are present.
Multiple episodes, currently in acute episode:  Multiple episodes may be deter-
mined after a minimum of two episodes (i.e., after a first episode, a remission and a
minimum of one relapse). 
Multiple episodes, currently in partial remission