CPT 90847 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Medicine Services and Procedures • Psychiatry Services and Procedures |
| Common Place of Service | • 11 - Office • None • 10 - Telehealth in Patient's Home |
| Common Modifiers | • None • 95 - Telemedicine - audio and video • GT - Via interactive audio and video telecommunication systems |
| Complexity Level | Low |
National average reimbursement for CPT 90847 by major payers:
$120.67
$109.68
$118.00
$141.88
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 90847 | ||||||
United | 90847 | $108.70 | 1194877852 - ELIZABETH DOMINGOS-SHEPARD | 845020669 - SUD SPECIALITY GROUP - CA | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $136.42 | 1164569018 - JEFFREY SUMPOLEC | 841856765 | CA | Professional Counselor (101YP2500X) |
United | 90847 | $140.72 | 1013356229 - SHANNON KLOSAK | 852938829 | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $133.80 | 1689787426 - KAREN SEVERSON | 541581185 - MCV ASSOCIATED PHYSICIANS | FL | Psychiatry Physician (2084P0800X) |
United | 90847 | $136.42 | 1578939872 - BRENT KORNISH | 871927518 - ALMA COMMUNITY NETWORK | CA | Clinical Social Worker (1041C0700X) |
United | 90847 | $91.76 | 1538357637 - ALISON ADLER | 680517920 - (CA) AFFILIATED PSYCHOLOGICAL SERVICES | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $136.42 | 1942781729 - SHANNON STAMEY | 841856765 | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $143.07 | 1255478004 - CHRISTOPHER RAIO | 208243412 - SAMARITAN EMERGENCY MEDICAL SERVICES PC | NY | Emergency Medicine Physician (207P00000X) |
United | 90847 | $187.50 | 1669598421 - CHANDRIKA SHANKAR | 363097297 - NORTHWESTERN MEMORIAL HEALTHCARE | IL | Psychiatry Physician (2084P0800X) |
United | 90847 | $187.50 | 1518582147 - GINA RICKERT | 465500908 | IL | Psychiatry Physician (2084P0800X) |
United | 90847 | $122.36 | 1063972404 - MAANASA BANDLA | 370661183 - BLESSING HOSPITAL | VA | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 90847 | $136.42 | 1457564452 - MARCY STAFSKY | 871927518 - ALMA COMMUNITY NETWORK | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $122.36 | 1518078732 - RAD GHARAVI | 364382886 - (IL) RAD GHARAVI MD PC | FL | Psychiatry Physician (2084P0800X) |
United | 90847 | $136.42 | 1730577040 - ADAM SILVERSTEIN | 871927518 - ALMA COMMUNITY NETWORK | CA | Marriage & Family Therapist (106H00000X) |
United | 90847 | $93.01 | 1033587365 - GABRIELLE PHAM-CHE | 541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C. | VA | Orthopedic Physical Therapist (2251X0800X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 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, 30 Minutes With Patient; Medicaid Level Of Care 7, As Defined By Each State |
| 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 Psychotherapy (Conjoint Psychotherapy) (With Patient Present), 50 Minutes Synchronous Telemed Svc Rendered Real Time Audio |
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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