CPT 90847 + ICD-10 F41.1: Generalized Anxiety Disorder
Family psychotherapy with patient present billed with Generalized Anxiety Disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F41.1
Generalized Anxiety Disorder
Compatibility Notes
Used for family sessions where the identified patient carries a GAD diagnosis and family dynamics are part of the treatment. The patient must be present. Most payers cover this combination for outpatient family therapy without prior authorization when it is clinically indicated.
Documentation Required
- ✓Names of all participants and their relationship to the identified patient
- ✓GAD diagnosis attributed to the identified patient
- ✓Family dynamics and anxiety maintenance factors addressed in session
- ✓Patient presence confirmed in notes
- ✓Therapeutic interventions targeting patient and family
Common Denial Reasons
- ✗Patient not present — use 90846 if identified patient is absent
- ✗Diagnosis assigned to the family unit rather than the identified patient
- ✗No documentation of all session participants
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Family therapy codes reimburse slightly less than individual 90837 on most commercial plans.
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