CPT 90847 + ICD-10 F42.2: Mixed obsessional thoughts and acts (OCD)
Family psychotherapy with patient present billed with Mixed obsessional thoughts and acts (OCD) — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F42.2
Mixed obsessional thoughts and acts (OCD)
Common Modifiers
Compatibility Notes
Appropriate for family sessions addressing OCD-related family accommodation behaviors. Family involvement in ERP is evidence-based — family members often inadvertently reinforce compulsions. The identified patient must be present. Most payers accept family therapy as an adjunct to individual OCD treatment.
Documentation Required
- ✓Identified OCD patient present
- ✓All participants named
- ✓Family accommodation behaviors addressed
- ✓ERP-consistent family intervention documented
- ✓Y-BOCS or equivalent tracked
Common Denial Reasons
- ✗Patient absent — use 90846
- ✗Family accommodation not addressed as a clinical target
- ✗No OCD-specific intervention approach documented
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. OCD family therapy is covered when accommodation reduction is documented as the therapeutic target.
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