CPT 90847 + ICD-10 F60.3: Borderline personality disorder
Family psychotherapy with patient present billed with Borderline personality disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F60.3
Borderline personality disorder
Compatibility Notes
Family involvement in BPD treatment (e.g., DBT family skills training) can be beneficial, especially for adolescents. The identified patient must be present. Some payers may not cover family therapy specifically for BPD without prior authorization — verify benefit details. Safety documentation is critical.
Documentation Required
- ✓Identified BPD patient present
- ✓All participants named
- ✓Safety assessment for identified patient
- ✓DBT-consistent family intervention approach documented
- ✓Prior authorization number if required
Common Denial Reasons
- ✗Patient absent — use 90846
- ✗No documented evidence-based family approach for BPD
- ✗Payer requires prior authorization for BPD family therapy
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. BPD family therapy is covered under mental health parity but may require clinical rationale letter for some payers.
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