CPT 90847 + ICD-10 F90.1: Attention-deficit hyperactivity disorder, predominantly hyperactive type
Family psychotherapy with patient present billed with Attention-deficit hyperactivity disorder, predominantly hyperactive type — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F90.1
Attention-deficit hyperactivity disorder, predominantly hyperactive type
Compatibility Notes
Family sessions for ADHD-HI are most common in pediatric settings where parent management training is integrated with the child present. Evidence-based family interventions for hyperactive ADHD include Barkley parent training and behavioral family interventions. The identified patient (child) must be present.
Documentation Required
- ✓Identified ADHD-HI patient (typically child) present
- ✓All participants named
- ✓Parent management training or behavioral family approach documented
- ✓ADHD-HI functional impact on family addressed
Common Denial Reasons
- ✗Child absent — parent-only sessions require 90846
- ✗Diagnosis not attributed to the child
- ✗Notes describe consultation rather than active family psychotherapy
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. Pediatric ADHD-HI family therapy is broadly covered. Separate parent management training sessions (with child absent) should be billed as 90846.
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