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.
