CPT Code 90847: Family psychotherapy with patient present

Duration

50 min

Typical Fee

$120-$220

Type

Outpatient therapy

Note: Conjoint family therapy.

When to Use CPT 90847

Use CPT code 90847 when billing for family psychotherapy with patient present. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 90847 to a Superbill

When generating a superbill with CPT 90847, 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 90847:

F41.1 - Generalized anxiety disorder F32.1 - Major depressive disorder, single episode, moderate Z63.0 - Problems in relationship with spouse or partner F43.10 - Post-traumatic stress disorder, unspecified

Documentation Requirements

Document all participants, the identified patient, and how family involvement supports the treatment plan. Include session focus and interventions used.

Common Denial Reasons

✗ Patient not documented as present in the session — should use 90846
✗ Billed as couples therapy without linking to the identified patient diagnosis
✗ Missing treatment plan justification for family modality

Reimbursement Expectations

OON reimbursement typically 50-70% of UCR. Expect $60-$155 from commercial plans.

Related Guides

CPT Code 90847: Family Therapy With Patient Present4 min read
Couples Therapy Billing: CPT Codes and Insurance Coverage5 min read
Can You Use FSA for Couples Therapy?5 min read

Generate a superbill with CPT 90847 free