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See a sample rate comparisonCPT 90847 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Family Therapy With Patient, Family Therapy Provided By A Psychiatrist Or Other Health Professional For A Mental Health Condition. The Individual With The Condition May Not Be Present During The Session.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Psychiatry Services and Procedures |
| Common Place of Service | 11 - Office 10 - Telehealth in Patient's Home |
| Common Modifiers | 95 - Telemedicine - audio and video GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
| ASAM Level | Level 1 - Outpatient Services |
| Care Type | Treatment |
| Setting | Outpatient |
| Revenue Code | |
| Medicare Fee Schedule | $109.56 national non-facility rate (2026) · View Medicare rates for 90847 |
| Medicaid Fee Schedule | $92.93 median of the 8 states in the free preview · View Medicaid rates for 90847 |
National average reimbursement for CPT 90847 by major payers:
$120.67
$109.68
$118.00
$125.32
Compare published rates across providers.
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CPT 90847
5 of 25 sample ratesHigher to lower in this preview
Chandrika Shankar
Northwestern Memorial Healthcare
$187.50Published rateChristopher Raio
Samaritan Emergency Medical Services PC
$143.07Published rateAdam Silverstein
Alma Community Network
$136.42Published ratePaul Berkowitz
Brightside Medical
$122.36Published rateAlison Adler
Affiliated Psychological Services
$91.76Published rate
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See a sample payer proposalCPT 90847 vs. Other Psychiatry Services and Procedures Codes
The CPT 90847 code is part of the Medicine Services and Procedures services used for Psychiatry Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90847 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90785-CPT | Low | Individual Pschophysiological Therapy Incorporatin G Biofeedback Training By And Modality (Face To Fa Ce W/Pt) (Eg Insight Oriented, Behavior Modifying Or Supportive Psychotherapy) Approx 20-30 Minut |
| 90832-CPT | Low | Psychotherapy Session 30 Mins, Psychotherapy Session With Psychiatrist Psychologist Or Other Mental Health Professional; 30 Minutes. |
| 90834-CPT | Low | Psychotherapy, 45 Minutes With The Pt And/Or Famil Y Member. Pt Must Be Pressent For All Or Some Of The Service. Focus Of The Session Is Still On The Pt And Not On The Family Unit. |
| 90847-CPT | Low | Family Therapy With Patient, Family Therapy Provided By A Psychiatrist Or Other Health Professional For A Mental Health Condition. The Individual With The Condition May Not Be Present During The Session. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90847. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90847 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are standardized five-digit alphanumeric codes used by medical professionals to describe medical, surgical, and diagnostic services provided to patients. They are essential for accurate billing and processing of insurance claims.
The cost of medical procedures can vary significantly based on your location, the specific provider, your insurance plan, and other factors. To get an estimated cost for a specific CPT code and your location, you can utilize tools designed for this purpose. For detailed, specific pricing information, you can use services like Payerprice, which offers a fee schedule lookup tool where you can search with a CPT code and your specific location to get an idea of potential costs.
These are common terms related to your health insurance plan's cost-sharing structure: * Deductible: The amount of money you must pay out-of-pocket for covered medical services before your insurance company begins to pay. * Copay (Copayment): A fixed amount you pay for a covered health care service after you've paid your deductible (for some services). For example, you might pay a $25 copay for a doctor's visit. * Coinsurance: Your share of the cost of a covered health care service, calculated as a percentage (e.g., 20%) of the allowed amount for the service after you've met your deductible. If your coinsurance is 20% and the allowed amount for a service is $100, you pay $20.
Medical costs can vary widely due to several factors, including: * Geographic location: Costs can be higher in urban areas or certain regions. * Provider differences: Different hospitals, clinics, or individual physicians may charge different amounts for the same service. * Insurance negotiation: Insurers negotiate different rates with providers, leading to varying "allowed amounts." * Type of facility: Outpatient clinics might be less expensive than hospital-based facilities for the same procedure. * Complexity of care: The specific details and additional services required for a procedure can impact the final cost. * Transparency: Historically, medical pricing has lacked transparency, making it difficult for consumers to compare costs easily.