CPT 90847
Global XXX ActiveFamily psytx w/pt 50 min
CPT 90847 Billing & Documentation Guide
CPT code 90847 (Family psytx w/pt 50 min) is classified under Psychiatry with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.86, a non-facility practice expense RVU of 0.4, and a malpractice RVU of 0.02, a total non-facility RVU of 3.28 and facility RVU of 3.08. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $112, though rates vary from $107.35 to $157.89 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90847, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 90847 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 90847 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 90847
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.86 | 2.86 |
| Practice Expense RVU | 0.4 | 0.2 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 3.28 | 3.08 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90847
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $115.12 | $107.22 | $112.15 - $125.66 | 29 |
| Florida | $110.23 | $103.53 | $109.3 - $111.12 | 3 |
| Georgia | $109.22 | $102.84 | $108.24 - $110.19 | 2 |
| Illinois | $110.05 | $103.59 | $108.77 - $111.16 | 4 |
| Michigan | $109.02 | $102.74 | $108.48 - $109.55 | 2 |
| North Carolina | $108.42 | $102.19 | $108.42 - $108.42 | 1 |
| New York | $115.87 | $108.41 | $108.69 - $118.77 | 5 |
| Ohio | $108.4 | $102.3 | $108.4 - $108.4 | 1 |
| Pennsylvania | $110.19 | $103.65 | $108.42 - $111.95 | 2 |
| Texas | $109.83 | $103.25 | $108.31 - $110.48 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 90847
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90847 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0115T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0116T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0359T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0360T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0361T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0362T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0363T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0364T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0365T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 90847
What does CPT code 90847 mean? +
CPT code 90847 represents: Family psytx w/pt 50 min. It's in the Psychiatry category with a global period of XXX.
What is the Medicare reimbursement for CPT 90847? +
The 2026 Medicare national average non-facility payment for CPT 90847 is $112. Rates range from $107.35 to $157.89 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90847? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 90847? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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