Reimbursement
$109.55
Threshold
50m
2026 Status
Active
What is CPT Code 90847?
CPT 90847 is defined as: Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes. This code is used when the therapist meets with the patient and their family members together to address issues within the family system and how they affect the patient's mental health.
This code is primarily used for Behavioral services. It falls under the category of Behavioral Health and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.
2026 RVU Components
Relative Value Units (Non-Facility)
Work RVU
1.85
Physician Effort
PE (Non-Fac)
1.35
Practice Expense
Malpractice
0.08
Risk Factor
Total RVU
3.28
Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor
2026 CMS Policy Intelligence
financial trajectory
Positions behavioral health as a 'winner' in 2026 reimbursement realignment with a ~6.5% payment increase.
efficiency exemption
Exempt from the -2.5% efficiency cuts affecting procedural medicine.
telehealth permanence
Permanently listed for Medicare Telehealth in 2026.
site of service impact
Positive adjustments to practice expense inputs for behavioral health support the payment increase.
Administrative Framework
Place of Service
NCCI Exclusions
Key Modifiers
Operational Requirements
minimum time
26 minutes (CPT Mid-point Rule)
staff type
Physician or QHP
frequency
Once per session; subject to clinical necessity and payer limits.
add on codes
e m integration
Can be billed on the same day as E/M management (pharmacotherapy) IF medical decision making and psychotherapy are clearly segregated in documentation.
Compliance Checklist
Audit Defense
No specific audit defense elements defined.
Common Clinical Scenarios
CMS Eligibility: 1+ psychiatric diagnosis.. Variable based on treatment plan.
Target Specialties & Utilization
Typical Clinical Indications (ICD-10)
Billing Differentiation
VS 90846
90847 includes the patient; 90846 is for family without the patient.
VS add_on_therapy
Unlike individual psychotherapy (90833), 90847 is a standalone code even when billed with E/M.
Frequently Asked Questions
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