CPT 90847: Family Psychotherapy with Patient Present
Medicare pays $113 and commercial payers pay $255 on average nationally for this procedure.
CPT code 90847 describes family psychotherapy with the patient present, a therapeutic service where the provider meets with the patient and family members to address psychological issues affecting the patient and family, evaluate the treatment plan, and clarify family roles; service type: family psychotherapy/psychotherapy with family involvement; typical site of service: outpatient behavioral health clinic or office-based mental health setting.
For related coverage guidance, see recent payer policy updates: Kentucky Medicaid program changes and related fiscal provisions (HB 695/HCS1), New Technology and Miscellaneous Services (Category III CPT® Codes), Consultation Services - Professional.
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National Reimbursement Benchmarks
National means place Blue Cross Blue Shield well above Medicare and BUCA: Blue Cross Blue Shield’s mean of $337.6 far exceeds Medicare’s mean of $112.6 and BUCA’s commercial average of $255.1, indicating a substantial premium in that payer’s reimbursement posture versus both the federal program and the BUCA commercial benchmark. Dispersion varies notably across payers. Blue Cross Blue Shield shows the widest interquartile spread at $197.0 (P75 $431.5 minus P25 $239.5), while Aetna and Cigna are comparatively tight with spreads of $49.1 (Aetna P75 $138.3 − P25 $92.0) and $74.0 (Cigna P75 $182.5 − P25 $108.5). UnitedHealth Group’s spread is $92.1, and BUCA’s commercial IQR is $140.1, placing it in the higher-dispersion group but below Blue Cross Blue Shield’s variability.