CPT 90847 + ICD-10 F31.81: Bipolar II disorder
Family psychotherapy with patient present billed with Bipolar II disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F31.81
Bipolar II disorder
Compatibility Notes
Family-focused therapy (FFT) is an evidence-based adjunct for Bipolar II disorder. Family sessions can address psychoeducation about the disorder, communication enhancement, and relapse prevention. The identified patient must be present. Most payers accept family therapy for bipolar disorder when clinical rationale is documented.
Documentation Required
- ✓Identified patient with Bipolar II present
- ✓All participants named with relationship to patient
- ✓Family-focused therapy goals documented (psychoeducation, communication, relapse prevention)
- ✓Medication management coordination referenced
- ✓Safety screen for identified patient
Common Denial Reasons
- ✗Identified patient absent — use 90846
- ✗No documented rationale for family involvement in bipolar treatment
- ✗Diagnosis not attributed to identified patient
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Family-focused therapy for bipolar disorder is evidence-based and should be covered under mental health parity.
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