CPT code 90847: Family therapy, patient present, 50 minutes2026 Medicare rate & RVUs in Washington, DC area
Report 90847 for a 50-minute family psychotherapy session involving the patient and family members to address the patient’s behavioral health treatment needs.
In Washington, DC area, Medicare pays $117.17 for 90847 in the office and $109.30 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 90847 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 90847 covers
This service is conjoint psychotherapy: the patient participates with one or more family members, such as a spouse, parent, or caregiver. The clinician works with the family on interaction patterns, communication, or other relationship issues relevant to the patient’s mental health treatment. Psychiatrists, psychologists, clinical social workers, and other qualified behavioral health clinicians may provide it in office or facility settings. A typical situation is a session with a patient and parent focused on family responses affecting the patient’s symptoms or treatment progress.
Report 90847 when the patient is present and the session is family psychotherapy, rather than individual therapy with a relative merely providing collateral information. The record should identify participants, document the therapeutic focus and interventions, connect the work to the patient’s treatment, and support the session duration. Choose 90846 when the patient is absent; choose group codes when treatment is delivered to multiple families or a psychotherapy group. The service is reported for the family psychotherapy session, not separately for each participant.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Billing guides for 90847: 90846 vs 90847 · Mental health billing
How Washington, DC area compares for 90847
Across 109 of 109 payment localities, the office rate for 90847 runs from $107.35 in Arkansas to $157.89 in Alaska. Washington, DC area pays $117.17. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$117.17
- Los Angeles, CA · California$115.69−$1.48
- Miami, FL · Florida$111.12−$6.05
- Chicago, IL · Illinois$111.16−$6.01
- Manhattan, NY · New York$118.22+$1.05
- Alaska · Alaska$157.89+$40.72
- Alabama · Alabama$107.59−$9.58
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $107.35 | $101.61 |
| ArizonaArizona | $109.04 | $102.57 |
| Bakersfield, CACalifornia | $112.39 | $105.07 |
| Chico, CACalifornia | $112.15 | $104.83 |
| El Centro, CACalifornia | $112.15 | $104.83 |
| Fresno, CACalifornia | $112.15 | $104.83 |
| Hanford, CACalifornia | $112.15 | $104.83 |
| Madera, CACalifornia | $112.15 | $104.83 |
| Merced, CACalifornia | $112.15 | $104.83 |
| Modesto, CACalifornia | $112.15 | $104.83 |
| Napa, CACalifornia | $119.49 | $110.69 |
| Oxnard, CACalifornia | $114.41 | $106.51 |
| Redding, CACalifornia | $112.15 | $104.83 |
| Rest of CaliforniaCalifornia | $112.15 | $104.83 |
| Riverside, CACalifornia | $112.46 | $105.14 |
| Sacramento, CACalifornia | $114.86 | $107.09 |
| Salinas, CACalifornia | $114.33 | $106.59 |
| San Diego, CACalifornia | $114.73 | $106.74 |
| Marin County, CACalifornia | $123.75 | $114.33 |
| San Francisco, CACalifornia | $123.72 | $114.30 |
| San Benito County, CACalifornia | $125.66 | $116.03 |
| Santa Clara County, CACalifornia | $125.57 | $115.93 |
| San Luis Obispo, CACalifornia | $112.73 | $105.12 |
| Santa Cruz, CACalifornia | $114.12 | $106.01 |
| Santa Maria, CACalifornia | $114.14 | $106.35 |
| Santa Rosa, CACalifornia | $115.16 | $106.95 |
| Stockton, CACalifornia | $112.15 | $104.83 |
| Vallejo, CACalifornia | $119.46 | $110.66 |
| Visalia, CACalifornia | $112.15 | $104.83 |
| Yuba City, CACalifornia | $112.15 | $104.83 |
| ColoradoColorado | $111.41 | $104.30 |
| ConnecticutConnecticut | $112.63 | $105.44 |
| DelawareDelaware | $109.80 | $103.20 |
| Fort Lauderdale, FLFlorida | $110.27 | $103.50 |
| Rest of FloridaFlorida | $109.30 | $102.92 |
| Atlanta, GAGeorgia | $110.19 | $103.40 |
| Rest of GeorgiaGeorgia | $108.24 | $102.28 |
| Hawaii, Guam, HIHawaii | $111.10 | $103.51 |
| IowaIowa | $108.02 | $101.90 |
| IdahoIdaho | $108.13 | $101.99 |
| East St. Louis, ILIllinois | $109.16 | $103.02 |
| Rest of IllinoisIllinois | $108.77 | $102.67 |
| Suburban Chicago, ILIllinois | $111.10 | $104.24 |
| IndianaIndiana | $108.24 | $102.04 |
| KansasKansas | $107.94 | $101.90 |
| KentuckyKentucky | $108.02 | $102.08 |
| New Orleans, LALouisiana | $108.86 | $102.57 |
| Rest of LouisianaLouisiana | $107.99 | $102.08 |
| Metropolitan Boston, MAMassachusetts | $115.99 | $108.01 |
| Rest of MassachusettsMassachusetts | $111.66 | $104.62 |
| Baltimore area, MDMaryland | $112.22 | $105.05 |
| Rest of MarylandMaryland | $110.62 | $103.86 |
| Rest of MaineMaine | $108.23 | $102.09 |
| Southern Maine, MEMaine | $109.19 | $102.57 |
| Detroit, MIMichigan | $109.55 | $103.10 |
| Rest of MichiganMichigan | $108.48 | $102.38 |
| MinnesotaMinnesota | $109.47 | $102.60 |
| Metropolitan Kansas City, MOMissouri | $108.72 | $102.45 |
| Metropolitan St. Louis, MOMissouri | $108.91 | $102.56 |
| Rest of MissouriMissouri | $107.69 | $101.94 |
| MississippiMississippi | $107.52 | $101.77 |
| MontanaMontana | $109.55 | $102.87 |
| North CarolinaNorth Carolina | $108.42 | $102.19 |
| North DakotaNorth Dakota | $109.16 | $102.48 |
| NebraskaNebraska | $108.11 | $101.94 |
| New HampshireNew Hampshire | $110.02 | $103.07 |
| Northern New JerseyNew Jersey | $117.76 | $110.01 |
| Rest of New JerseyNew Jersey | $114.67 | $107.38 |
| New MexicoNew Mexico | $108.58 | $102.45 |
| NevadaNevada | $109.46 | $102.77 |
| NYC suburbs and Long Island, NYNew York | $118.77 | $110.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $115.26 | $107.95 |
| Queens, NYNew York | $118.40 | $110.50 |
| Rest of New YorkNew York | $108.69 | $102.34 |
| OhioOhio | $108.40 | $102.30 |
| OklahomaOklahoma | $107.98 | $102.01 |
| Portland, OROregon | $112.40 | $104.97 |
| Rest of OregonOregon | $109.30 | $102.65 |
| Metropolitan Philadelphia, PAPennsylvania | $111.95 | $105.00 |
| Rest of PennsylvaniaPennsylvania | $108.42 | $102.29 |
| Puerto RicoPuerto Rico | $109.69 | $102.94 |
| Rhode IslandRhode Island | $111.74 | $104.84 |
| South CarolinaSouth Carolina | $108.44 | $102.27 |
| South DakotaSouth Dakota | $109.11 | $102.43 |
| TennesseeTennessee | $108.03 | $101.96 |
| Austin, TXTexas | $110.44 | $103.38 |
| Beaumont, TXTexas | $108.31 | $102.23 |
| Brazoria, TXTexas | $110.05 | $103.43 |
| Dallas, TXTexas | $110.27 | $103.61 |
| Fort Worth, TXTexas | $110.14 | $103.55 |
| Galveston, TXTexas | $110.11 | $103.48 |
| Houston, TXTexas | $110.48 | $103.84 |
| Rest of TexasTexas | $108.81 | $102.47 |
| UtahUtah | $108.69 | $102.41 |
| VirginiaVirginia | $109.13 | $102.56 |
| Virgin Islands, VIUnited States Virgin Islands | $109.69 | $102.94 |
| VermontVermont | $109.09 | $102.48 |
| Rest of WashingtonWashington | $111.35 | $104.31 |
| King County, WAWashington | $117.24 | $109.05 |
| WisconsinWisconsin | $108.53 | $102.13 |
| West VirginiaWest Virginia | $108.09 | $102.29 |
| WyomingWyoming | $109.38 | $102.70 |
90847 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$107.35
$157.89
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $157.89 | 1 |
| AL | $107.59 | 1 |
| AR | $107.35 | 1 |
| AZ | $109.04 | 1 |
| CA | $112.15–$125.66 | 29 |
| CO | $111.41 | 1 |
| CT | $112.63 | 1 |
| DC | $117.17 | 1 |
| DE | $109.80 | 1 |
| FL | $109.30–$111.12 | 3 |
| GA | $108.24–$110.19 | 2 |
| GU | $111.10 | 1 |
| HI | $111.10 | 1 |
| IA | $108.02 | 1 |
| ID | $108.13 | 1 |
| IL | $108.77–$111.16 | 4 |
| IN | $108.24 | 1 |
| KS | $107.94 | 1 |
| KY | $108.02 | 1 |
| LA | $107.99–$108.86 | 2 |
| MA | $111.66–$115.99 | 2 |
| MD | $110.62–$117.17 | 3 |
| ME | $108.23–$109.19 | 2 |
| MI | $108.48–$109.55 | 2 |
| MN | $109.47 | 1 |
| MO | $107.69–$108.91 | 3 |
| MS | $107.52 | 1 |
| MT | $109.55 | 1 |
| NC | $108.42 | 1 |
| ND | $109.16 | 1 |
| NE | $108.11 | 1 |
| NH | $110.02 | 1 |
| NJ | $114.67–$117.76 | 2 |
| NM | $108.58 | 1 |
| NV | $109.46 | 1 |
| NY | $108.69–$118.77 | 5 |
| OH | $108.40 | 1 |
| OK | $107.98 | 1 |
| OR | $109.30–$112.40 | 2 |
| PA | $108.42–$111.95 | 2 |
| PR | $109.69 | 1 |
| RI | $111.74 | 1 |
| SC | $108.44 | 1 |
| SD | $109.11 | 1 |
| TN | $108.03 | 1 |
| TX | $108.31–$110.48 | 8 |
| UT | $108.69 | 1 |
| VA | $109.13–$117.17 | 2 |
| VI | $109.69 | 1 |
| VT | $109.09 | 1 |
| WA | $111.35–$117.24 | 2 |
| WI | $108.53 | 1 |
| WV | $108.09 | 1 |
| WY | $109.38 | 1 |
How the 90847 rate is calculated
Each of 90847’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 90847
RVUs × geographic indexes × conversion factor
Work2.86
2.86 RVUs× 1.000 GPCI
Practice expense0.40
0.40 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
3.2800
Conversion factor
$33.4009
Medicare rate
$109.55
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,539
- Code
- 90847
- Physician work
- 2.86
- Practice expense
- 0.40
- Malpractice
- 0.02
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.86 | × 1.054 | 3.0144 |
| Practice expense | 0.40 | × 1.178 | 0.4712 |
| Malpractice | 0.02 | × 1.113 | 0.0223 |
| Total RVUs | 3.5079 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$117.17
Office: (2.86 × 1.054 + 0.4 × 1.178 + 0.02 × 1.113) × $33.4009 = $117.17
Facility: (2.86 × 1.054 + 0.2 × 1.178 + 0.02 × 1.113) × $33.4009 = $109.30
Payment rules and modifiers for 90847
90847 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 90847
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$109.55
- Non-facility (office)
- $109.55
- Facility
- $102.87
Higher because the practice carries its own overhead.
How 90847 has changed in Washington, DC area
90847 · Office / nonfacility
$117.17
Effective 2026-10-01
The base rate is $6.57 higher than on 2025-10-01, moving from $110.60 to $117.17 (5.9%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$110.60changed to$117.17
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.74 changed to 2.86
- Practice expense RVU 0.38 changed to 0.40
- Malpractice RVU 0.06 changed to 0.02
- Work GPCI 1.057 changed to 1.054
- Practice expense GPCI 1.192 changed to 1.178
- Malpractice GPCI 1.168 changed to 1.113
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$109.98changed to$110.60
- Conversion factor 33.2875 changed to 32.3465
- Work RVU 2.62 changed to 2.74
- Malpractice RVU 0.07 changed to 0.06
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$108.19changed to$109.98
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$107.60changed to$108.19
- Conversion factor 33.8872 changed to 32.7442
- Work RVU 2.50 changed to 2.62
- Practice expense RVU 0.37 changed to 0.38
- Work GPCI 1.056 changed to 1.057
- Practice expense GPCI 1.214 changed to 1.192
- Malpractice GPCI 1.231 changed to 1.168
January 1, 2023
RVU23A
$110.19changed to$107.60
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.35 changed to 0.37
- Malpractice RVU 0.09 changed to 0.07
- Work GPCI 1.054 changed to 1.056
- Practice expense GPCI 1.236 changed to 1.214
- Malpractice GPCI 1.294 changed to 1.231
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$111.10changed to$110.19
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$115.54changed to$111.10
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.38 changed to 0.35
- Work GPCI 1.049 changed to 1.054
- Practice expense GPCI 1.221 changed to 1.236
- Malpractice GPCI 1.277 changed to 1.294
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$123.86changed to$115.54
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.59 changed to 0.38
- Work GPCI 1.045 changed to 1.049
- Practice expense GPCI 1.205 changed to 1.221
- Malpractice GPCI 1.261 changed to 1.277
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$119.82changed to$123.86
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.50 changed to 0.59
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$115.43changed to$119.82
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.40 changed to 0.50
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$115.46changed to$115.43
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$115.87changed to$115.46
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$115.30changed to$115.87
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$115.57changed to$115.30
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.41 changed to 0.40
- Work GPCI 1.050 changed to 1.051
- Practice expense GPCI 1.202 changed to 1.205
- Malpractice GPCI 1.205 changed to 1.280
Held through RVU15B.
January 1, 2014
RVU14A
$94.59changed to$115.57
- Conversion factor 34.0230 changed to 35.8228
- Work RVU 2.21 changed to 2.50
- Practice expense RVU 0.31 changed to 0.41
- Malpractice RVU 0.08 changed to 0.09
- Work GPCI 1.049 changed to 1.050
- Practice expense GPCI 1.198 changed to 1.202
- Malpractice GPCI 1.130 changed to 1.205
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $94.59
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $117.17 | $109.30 | RVU26D |
| 2026-07-01 | $117.17 | $109.30 | RVU26C |
| 2026-04-01 | $117.17 | $109.30 | RVU26B |
| 2026-01-01 | $117.17 | $109.30 | RVU26A |
| 2025-10-01 | $110.60 | $110.21 | RVU25D |
| 2025-07-01 | $110.60 | $110.21 | RVU25C |
| 2025-04-01 | $110.60 | $110.21 | RVU25B |
| 2025-01-01 | $110.60 | $110.21 | RVU25A |
| 2024-10-01 | $109.98 | $109.19 | RVU24D |
| 2024-07-01 | $109.98 | $109.19 | RVU24C |
| 2024-04-01 | $109.98 | $109.19 | RVU24B |
| 2024-03-09 | $109.98 | $109.19 | RVU24AR |
| 2024-01-01 | $108.19 | $107.41 | RVU24A |
| 2023-10-01 | $107.60 | $107.19 | RVU23D |
| 2023-07-01 | $107.60 | $107.19 | RVU23C |
| 2023-04-01 | $107.60 | $107.19 | RVU23B |
| 2023-01-01 | $107.60 | $107.19 | RVU23A |
| 2022-10-01 | $110.19 | $109.76 | RVU22D |
| 2022-07-01 | $110.19 | $109.76 | RVU22C |
| 2022-04-01 | $110.19 | $109.76 | RVU22B |
| 2022-01-01 | $110.19 | $109.76 | RVU22A |
| 2021-10-01 | $111.10 | $110.24 | RVU21D |
| 2021-07-01 | $111.10 | $110.24 | RVU21C |
| 2021-04-01 | $111.10 | $110.24 | RVU21B |
| 2021-01-01 | $111.10 | $110.24 | RVU21A |
| 2020-10-01 | $115.54 | $115.10 | RVU20D |
| 2020-07-01 | $115.54 | $115.10 | RVU20C |
| 2020-04-01 | $115.54 | $115.10 | RVU20B |
| 2020-01-01 | $115.54 | $115.10 | RVU20A |
| 2019-10-01 | $123.86 | $114.31 | RVU19D |
| 2019-07-01 | $123.86 | $114.31 | RVU19C |
| 2019-04-01 | $123.86 | $114.31 | RVU19B |
| 2019-01-01 | $123.86 | $114.31 | RVU19A |
| 2018-10-01 | $119.82 | $115.05 | RVU18D |
| 2018-07-01 | $119.82 | $115.05 | RVU18C |
| 2018-04-01 | $119.82 | $115.05 | RVU18B |
| 2018-01-01 | $119.82 | $115.05 | RVU18AR1 |
| 2017-10-01 | $115.43 | $114.57 | RVU17D |
| 2017-07-01 | $115.43 | $114.57 | RVU17C |
| 2017-04-01 | $115.43 | $114.57 | RVU17B |
| 2017-01-01 | $115.43 | $114.57 | RVU17A |
| 2016-10-01 | $115.46 | $114.60 | RVU16D |
| 2016-07-01 | $115.46 | $114.60 | RVU16C |
| 2016-04-01 | $115.46 | $114.60 | RVU16B |
| 2016-01-01 | $115.46 | $114.60 | RVU16A |
| 2015-10-01 | $115.87 | $115.01 | RVU15D |
| 2015-07-01 | $115.87 | $115.01 | RVU15C |
| 2015-04-01 | $115.30 | $114.44 | RVU15B |
| 2015-01-01 | $115.30 | $114.44 | RVU15A |
| 2014-10-01 | $115.57 | $114.71 | RVU14D |
| 2014-07-01 | $115.57 | $114.71 | RVU14C |
| 2014-04-01 | $115.57 | $114.71 | RVU14B |
| 2014-01-01 | $115.57 | $114.71 | RVU14A |
| 2013-10-01 | $94.59 | $99.07 | RVU13D |
| 2013-07-01 | $94.59 | $99.07 | RVU13C |
| 2013-04-01 | $94.59 | $99.07 | RVU13B |
| 2013-01-01 | $94.59 | $99.07 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
90847 billing questions
Must the patient be present for 90847?
Yes. The patient participates in the family psychotherapy session. When the family meets with the clinician without the patient, consider 90846 instead.
How does 90847 differ from 90846?
90847 is for family psychotherapy with the patient present; 90846 is for family psychotherapy without the patient.
Should the code be reported once for each family member?
No. Report one service for the family psychotherapy session, rather than separate units for each participant.
What should the note support?
Document who attended, the family-focused therapeutic work, its relationship to the patient’s treatment, and the session duration.
When is 90849 a better fit?
Use 90849 when psychotherapy is conducted with multiple families together. 90847 describes a session with the patient and the patient’s family.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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