CPT 90847 + ICD-10 F34.1: Dysthymic disorder (persistent depressive disorder)
Family psychotherapy with patient present billed with Dysthymic disorder (persistent depressive disorder) — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F34.1
Dysthymic disorder (persistent depressive disorder)
Common Modifiers
Compatibility Notes
Family therapy can be a useful adjunct for PDD when interpersonal factors maintain chronic depression. The chronic nature of PDD may warrant ongoing family support sessions. The identified patient must be present and the diagnosis attributed to that individual.
Documentation Required
- ✓Identified PDD patient present
- ✓All participants named
- ✓Chronic depression impact on family relationships addressed
- ✓PDD diagnosis with 2-year course confirmed
- ✓Family therapy goals linked to interpersonal maintenance factors
Common Denial Reasons
- ✗Patient absent
- ✗2-year PDD course not documented
- ✗Family involvement not clinically justified in notes
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. PDD family therapy is covered when interpersonal maintenance factors are documented as clinical targets.
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