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CPT 90847 + ICD-10 F32.1: Major depressive disorder, single episode, moderate

Family psychotherapy with patient present billed with Major depressive disorder, single episode, moderate — documentation requirements, denial reasons, modifiers, and reimbursement context.

CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F32.1
Major depressive disorder, single episode, moderate
Common Modifiers

Compatibility Notes

Family therapy sessions where the identified patient has moderate first-episode MDD. Family support and communication interventions are evidence-based adjuncts for MDD recovery. The patient must be present. Most payers accept this without prior authorization.

Documentation Required

  • All session participants named
  • Identified patient present with moderate first-episode MDD
  • PHQ-9 in moderate range for identified patient
  • Depression-related family dynamics addressed

Common Denial Reasons

  • Patient absent
  • Prior MDD episode documented -- use F33.1 for recurrent moderate
  • Diagnosis not attributed to identified patient

Applicable Modifiers

Reimbursement Notes

OON UCR $125-$200. Family MDD therapy with moderate single-episode presentation is well-accepted by most payers.

Related Billing Guides

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