Psychotherapy & Psychiatric Diagnostic

90847 CPT

Family psychotherapy with patient present

System

CPT code

Timing

Per session (not a timed unit)

Add-on

No — billable on its own

CPT 90847 reports family psychotherapy conducted with the identified patient present. It is the family-therapy counterpart to 90846 and is commonly used in couples and family sessions.

When to use 90847

Use 90847 for a roughly 50-minute session that includes the patient and at least one family member or partner. When the patient is not present, use 90846.

How to bill it

Report a single unit and document the participants and the focus of the family work.

Common pitfalls

  • Billing individual therapy when the session was relational or family-focused.
  • Mixing up 90847 with the without-patient 90846 code.

Frequently asked questions

Is 90847 used for couples therapy?

Yes, conjoint couples or family sessions that include the identified patient are typically billed with 90847.

Can I bill 90847 and individual therapy the same day?

Generally each session is billed separately only when distinct and documented; verify payer rules, as same-day combined billing is often restricted.

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