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Family psychotherapy codes 90847 – simple question I promise!

Hello all,

A provider sees siblings both patients of this provider at the same time/visit The visit entails the true definition of 90847. The provider provides individual face to face assessments then has the siblings join together to observe behavioral interaction. Can the provider bill 90847 for each sibling? I tried to find something out there in cyber space but could not find a resourceful answer. Any help would be appreciated. Thank you! :confused:

Definition of 90847

The therapist provides 50 minutes (Excludes Service times of less than 26 minutes) of family psychotherapy in a setting where the care provider meets with the patient and the patient’s family jointly. The family is part of the patient evaluation and treatment process. Family dynamics as they relate to the patient’s mental status and behavior are a main focus of the sessions. Attention is also given to the impact the patient’s condition has on the family, with therapy aimed at improving the interaction between the patient and family members. Reviewing records, communicating with other providers, observing and interpreting patterns of behavior and communication between the patient and family members, and decision making regarding treatment, including medication management or any physical exam related to the medication, is included.
• 90846 – Family psychotherapy WITHOUT patient present, 50 minutes
• 90847 – Family psychotherapy (conjoint) WITH patient present, 50 minutes

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Below are prepared remarks by Andy Slavitt, CMS Acting Administrator before the MACRA MIPS/APM Summit, Washington, D.C. on December 1, 2016. The full text can be read on the CMS Blog. This is an important way to understand the context behind MACRA. To build on the foundation we have begun on reforming the delivery system […]
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