CPT 90847 + ICD-10 F40.10: Social anxiety disorder (social phobia), unspecified
Family psychotherapy with patient present billed with Social anxiety disorder (social phobia), unspecified — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F40.10
Social anxiety disorder (social phobia), unspecified
Common Modifiers
Compatibility Notes
Used for family sessions where social anxiety significantly impacts family functioning or when family members are involved in accommodation behaviors. Family therapy reduces accommodation which is a key maintenance factor in social anxiety. Most payers accept this for outpatient family therapy.
Documentation Required
- ✓Identified patient with social anxiety disorder present
- ✓All participants named
- ✓Family accommodation behaviors and treatment goals addressed
- ✓CBT or exposure-based family approach documented
Common Denial Reasons
- ✗Patient not present
- ✗Diagnosis not attributed to identified patient
- ✗Family involvement not clinically justified in notes
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Social anxiety family therapy is accepted when family accommodation is documented as a treatment target.
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