CPT 90847 + ICD-10 F94.2: Disinhibited social engagement disorder
Family psychotherapy with patient present billed with Disinhibited social engagement disorder — documentation requirements, denial reasons, modifiers, and reimbursement context.
CPT Code
90847
Family psychotherapy with patient present
ICD-10 Code
F94.2
Disinhibited social engagement disorder
Compatibility Notes
Family therapy for DSED focuses on building attachment security and helping caregivers respond to disinhibited social behaviors. The child must be present. Pathogenic care history documentation is essential. Rare in standard outpatient practice; more common in early childhood and foster/adoptive family settings.
Documentation Required
- ✓Child patient present
- ✓Caregiver(s) present and named
- ✓DSED diagnosis with disinhibited behavior and pathogenic care history
- ✓Caregiver-child interaction therapy approach documented
Common Denial Reasons
- ✗Child absent
- ✗No pathogenic care history
- ✗Notes do not differentiate DSED from RAD
Applicable Modifiers
Reimbursement Notes
OON UCR $125–$200. DSED family therapy is rare; early childhood specialist credentials support claims.
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