CPT Code 90849: Multiple-family group psychotherapy

When to Use CPT 90849

Use CPT code 90849 when billing for multiple-family group psychotherapy. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 90849 to a Superbill

When generating a superbill with CPT 90849, 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 90849:

Documentation Requirements

Document the number of families present, session focus, and each identified patient role. Note group dynamics and therapeutic interventions.

Common Denial Reasons

• ✗ Fewer than two families present — should use 90846 or 90847
• ✗ Missing documentation of individual patient involvement in the group context
• ✗ Diagnosis does not support the multi-family group modality

Reimbursement Expectations

OON reimbursement typically 40-60% of UCR. Expect $25-$60 per family unit.