CPT 90847 + ICD-10 F43.23: Adjustment disorder with mixed anxiety and depressed mood
Family psychotherapy with patient present billed with Adjustment disorder with mixed anxiety and depressed mood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F43.23
Adjustment disorder with mixed anxiety and depressed mood
Common Modifiers
Compatibility Notes
Used for family sessions where the patient presents with mixed adjustment responses to a shared or individual stressor. Common in couples and family therapy when the stressor impacts the entire family system. Most payers accept this combination for short-term intervention.
Documentation Required
- ✓Stressor documented
- ✓Mixed anxiety and depressed mood in identified patient
- ✓All participants named
- ✓Patient present
- ✓Time-limited treatment plan
Common Denial Reasons
- ✗Stressor absent from notes
- ✗Patient not present
- ✗Symptoms meet full primary disorder criteria without differential documentation
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Short-term, broadly accepted family therapy combination.
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