CPT 90847 + ICD-10 F94.1: Reactive attachment disorder of childhood
Family psychotherapy with patient present billed with Reactive attachment disorder of childhood — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F94.1
Reactive attachment disorder of childhood
Compatibility Notes
Family therapy is central to RAD treatment — the child identified patient must be present along with caregivers. Attachment-based family interventions (e.g., Dyadic Developmental Psychotherapy, PCIT) are evidence-based for RAD. The pathogenic care history must be documented. F94.1 is a childhood-onset diagnosis.
Documentation Required
- ✓Child patient present in session
- ✓Caregivers/parents present and named
- ✓RAD diagnosis with pathogenic care history
- ✓Attachment-based family intervention approach documented
- ✓Safety considerations including maltreatment history
Common Denial Reasons
- ✗Child absent from family session
- ✗Pathogenic care history not documented
- ✗Adult patient coded with childhood-onset diagnosis
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. RAD family therapy is uncommon; specialist credentials in attachment-based interventions strengthen claims.
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