CPT 90847 + ICD-10 F43.21: Adjustment disorder with depressed mood
Family psychotherapy with patient present billed with Adjustment disorder with depressed mood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F43.21
Adjustment disorder with depressed mood
Common Modifiers
Compatibility Notes
Commonly used for family therapy where a family stressor (divorce, job loss, medical diagnosis) has led to adjustment disorder with depressed mood in the identified patient. The stressor affects the family system and family involvement in treatment is clinically indicated. Time-limited diagnosis.
Documentation Required
- ✓Stressor documented with onset date
- ✓Identified patient present with depressed mood symptoms
- ✓All participants named with relationship to patient
- ✓Family-level stressor impact and treatment goals
Common Denial Reasons
- ✗Stressor not documented
- ✗Patient absent — requires 90846
- ✗Duration beyond 6 months post-stressor without update
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Adjustment disorder family therapy is well-covered for short-term intervention.
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