CPT Code 90846

CPT code 90846 is used to bill for family therapy sessions where the patient is not physically present. It’s commonly used in behavioral health when working with a patient’s family members or caregivers to support treatment goals.

In this article, we’ll cover:

• What CPT 90846 includes
• When to use it
• Documentation requirements
• Reimbursement rates
• Common billing pitfalls

What is CPT Code 90846?

CPT 90846 refers to family psychotherapy (without the patient present). These sessions are typically conducted with parents, caregivers, or other family members to:

• Improve family dynamics
• Educate the family about the patient’s condition
• Support treatment adherence or behavioral strategies

Key distinction: If the patient is present during the session, use CPT 90847 instead.

When to Use CPT Code 90846

Use 90846 when:

• The patient is not in the session
• The discussion directly supports the patient’s treatment plan
• The session involves a family member or caregiver

Appropriate use cases include:

• Parenting sessions for a child with behavioral issues
• Psychoeducation for families of patients with depression, anxiety, or autism
• Caregiver guidance for patients with dementia or chronic mental illness

Documentation Requirements

To bill 90846 correctly, include:

• Names and relationship of participating family members
• Total session time (typically 45–60 minutes)
• Focus of the session and connection to the patient’s treatment
• Therapeutic interventions used
• Goals discussed and progress made

Ensure documentation links the session to the patient’s diagnosis and plan of care.

Reimbursement Rates for 90846

Medicare reimbursement for CPT 90846 generally ranges from $95 to $130. Rates vary by provider type, region, and payer. Commercial payers may reimburse more, especially in pediatric or autism-related therapy settings.

Common Billing Errors to Avoid

• Using 90846 when the patient is present (use 90847 instead)
• Missing clinical tie-in to the patient’s treatment plan
• Lack of session duration or family member identification
• Incorrect use for group therapy or multiple families (this is not group therapy)

Final Thoughts

CPT 90846 is an essential code for providers offering caregiver or family support services that directly contribute to a patient’s therapeutic outcomes. By documenting sessions clearly and billing appropriately, you can support better care coordination—and ensure timely reimbursement.