CPT 90847 + ICD-10 F43.12: Post-traumatic stress disorder, chronic
Family psychotherapy with patient present billed with Post-traumatic stress disorder, chronic — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F43.12
Post-traumatic stress disorder, chronic
Compatibility Notes
Family therapy for chronic PTSD when family relationships are significantly impacted or when conjoint trauma work is part of the treatment. The identified patient must be present. Most payers accept family therapy as an adjunct to individual PTSD treatment.
Documentation Required
- ✓All participants named
- ✓Identified patient with chronic PTSD present
- ✓Trauma onset confirming chronicity
- ✓Family impact of PTSD and treatment goals addressed
- ✓Safety screen for identified patient
Common Denial Reasons
- ✗Patient absent
- ✗Chronicity not established in the record
- ✗No clinical rationale for family involvement
Applicable Modifiers
Reimbursement Notes
OON UCR $125-$200. Chronic PTSD family therapy is covered when family impact and treatment goals are clearly documented.
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