CPT Code 90846: Family psychotherapy without patient present

Duration

50 min

Typical Fee

$100-$200

Type

Outpatient therapy

When to Use CPT 90846

Use CPT code 90846 when billing for family psychotherapy without patient present. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 90846 to a Superbill

When generating a superbill with CPT 90846, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 90846:

F41.1 - Generalized anxiety disorder F32.1 - Major depressive disorder, single episode, moderate Z63.0 - Problems in relationship with spouse or partner F43.23 - Adjustment disorder with mixed anxiety and depressed mood

Documentation Requirements

Document who attended, the identified patient, and the clinical rationale for patient absence. Note how the session relates to the patient treatment plan.

Common Denial Reasons

✗ Patient identified in the claim was present — should use 90847 instead
✗ Missing documentation of clinical rationale for patient absence
✗ Diagnosis code does not support family therapy modality

Reimbursement Expectations

OON reimbursement typically 50-65% of UCR. Expect $50-$130 from commercial insurers.

Related Guides

CPT Code 90847: Family Therapy With Patient Present4 min read
Couples Therapy Billing: CPT Codes and Insurance Coverage5 min read
How to Create a Superbill: Complete Guide8 min read

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