zaro

What is the Reimbursement Rate for 90847?

Published in CPT Code Reimbursement 2 mins read

The reimbursement rate for CPT code 90847 typically falls between $75 to $150 per session.

Understanding Reimbursement for CPT Code 90847

While a common range exists, the precise reimbursement for CPT code 90847, which covers family psychotherapy with the patient present, is not a fixed amount. It is subject to variation based on several key factors, ensuring that the compensation reflects specific circumstances.

Key Factors Influencing 90847 Reimbursement

Several elements play a crucial role in determining the exact reimbursement rate for family psychotherapy (90847):

  • Geographic Location: Reimbursement rates can significantly vary depending on the specific location where the services are rendered. This accounts for regional differences in the cost of living and healthcare expenses for providers.
  • Insurance Company and Plan: The specific insurance company and the details of the individual's insurance plan are major determinants. Each provider has its own fee schedule, and some insurance plans offer more comprehensive coverage for mental health services than others, leading to differing reimbursement rates for providers.

Typical Reimbursement Range for 90847

The general reimbursement range for CPT code 90847 provides a clear expectation for sessions:

Service CPT Code Typical Reimbursement Range (Per Session)
Family Psychotherapy 90847 $75 - $150

This range represents the common bracket for this service, though the exact payment received will always depend on the specific factors outlined above.