CPT 90847
CPT Code 90847: Family or couples psychotherapy with the client present
- Service
- Family or couples psychotherapy with the client present
- Category
- Family / couples
- Time range
- 26 minutes or longer (typically about 50 minutes)
- 2026 Medicare (non-QP)
- $109.55
90847 is family or couples therapy with the client present. It's the usual couples-therapy code when one partner is the identified client with a covered diagnosis. When the client isn't in the room, use 90846.
When to use 90847
- Family or couples sessions with the identified client present
- Couples therapy where one partner is the identified client with a billable diagnosis
What to document
- Who attended the session
- How the work relates to the client's diagnosis and treatment goals
- Interventions used and the family/couple's response
- Time spent (generally 26 minutes or more)
Common reasons 90847 gets denied
- No covered, billable diagnosis for the identified client
- Relationship counseling only, with no billable diagnosis - frequently not covered
- Plan does not cover family or couples psychotherapy
How much does 90847 pay in 2026?
The 2026 non-QP Medicare national non-facility rate for 90847 is about $109.55. Commercial payers usually land somewhere around $121 - $164 (roughly 110-150% of Medicare), though contracts run from below 80% to above 200%. A few things worth remembering: these figures use the non-QP conversion factor ($33.4009) - clinicians who are Qualifying APM Participants (QPs) are paid under a slightly higher factor - Medicare pays master's-level clinicians (LCSW, LMFT, LPC) about 75% of the listed amount, and your locality's geographic adjustment (GPCI) shifts the number a little.
Want the math for your own week of sessions and payer mix? Try the CPT reimbursement calculator - stack your codes, set your rates, and see weekly, monthly, and annual revenue.
Related codes
Frequently asked questions
What CPT code is used for couples therapy?
Couples therapy is usually billed as 90847 (family psychotherapy with the client present) when one partner is the identified client with a covered diagnosis. Coverage varies - many plans do not reimburse relationship counseling without a billable diagnosis.
This page is general reference for 2026 and is not billing, legal, or coding advice. Code rules, time ranges, and reimbursement depend on the current CPT and CMS guidelines, your payer contracts, state, locality, and credentials - always confirm against your payer's policy. See the full mental health CPT code list.