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CPT code 90847: Family therapy, patient present, 50 minutes2026 Medicare rate & RVUs in North Carolina

Report 90847 for a 50-minute family psychotherapy session involving the patient and family members to address the patient’s behavioral health treatment needs.

CMS RVU26DEffective Oct 1, 2026One payment locality122.3K Medicare services in 2024

In North Carolina, Medicare pays $108.42 for 90847 in the office and $102.19 when it’s performed in a hospital or facility.

$108.42Office (non-facility)
$102.19Hospital or facility
−1.0%vs the national office rate ($109.55)

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.

We’ll open 90847 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 90847 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 North Carolina 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. North Carolina pays $108.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

90847 in North Carolina vs other payment areas
  1. North Carolina · this page$108.42
  2. Los Angeles, CA · California$115.69+$7.27
  3. Washington, DC area · District of Columbia$117.17+$8.75
  4. Miami, FL · Florida$111.12+$2.70
  5. Chicago, IL · Illinois$111.16+$2.74
  6. Manhattan, NY · New York$118.22+$9.80
  7. Alaska · Alaska$157.89+$49.47

Other areas in North Carolina first, then benchmark localities. Bars start at $0.

Every other payment area

90847 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$107.59$101.75
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

90847 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
90847 office rate range by state
State / territoryOffice rate rangeLocalities
AK$157.891
AL$107.591
AR$107.351
AZ$109.041
CA$112.15–$125.6629
CO$111.411
CT$112.631
DC$117.171
DE$109.801
FL$109.30–$111.123
GA$108.24–$110.192
GU$111.101
HI$111.101
IA$108.021
ID$108.131
IL$108.77–$111.164
IN$108.241
KS$107.941
KY$108.021
LA$107.99–$108.862
MA$111.66–$115.992
MD$110.62–$117.173
ME$108.23–$109.192
MI$108.48–$109.552
MN$109.471
MO$107.69–$108.913
MS$107.521
MT$109.551
NC$108.421
ND$109.161
NE$108.111
NH$110.021
NJ$114.67–$117.762
NM$108.581
NV$109.461
NY$108.69–$118.775
OH$108.401
OK$107.981
OR$109.30–$112.402
PA$108.42–$111.952
PR$109.691
RI$111.741
SC$108.441
SD$109.111
TN$108.031
TX$108.31–$110.488
UT$108.691
VA$109.13–$117.172
VI$109.691
VT$109.091
WA$111.35–$117.242
WI$108.531
WV$108.091
WY$109.381

See 90847 in every payment locality

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

Office or facility?

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 North Carolina 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

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Office calculation for 90847 in North Carolina
ComponentRVULocality factorAdjusted
Physician work2.86× 1.0002.8600
Practice expense0.40× 0.9330.3732
Malpractice0.02× 0.6390.0128
Total RVUs3.2460
Conversion factor× 33.4009

Office rate, North Carolina$108.42

Office: (2.86 × 1 + 0.4 × 0.933 + 0.02 × 0.639) × $33.4009 = $108.42

Facility: (2.86 × 1 + 0.2 × 0.933 + 0.02 × 0.639) × $33.4009 = $102.19

Open 90847 in the RVU calculator

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.

Codes related to 90847

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90847
CodeHow it relatesOffice range, North Carolina
Same family
90846Family psychotherapy, patient absent, 50 minutesFamily psychotherapy when the patient is not present.$104.62
Used instead
90849Family group therapy, multiple familiesPsychotherapy conducted with multiple families together.$39.01
90853Group psychotherapy, single-patient group sessionGroup psychotherapy, rather than conjoint therapy with the patient’s family.$29.76
90834Psychotherapy session, 45 minutes, without E/MIndividual psychotherapy when the session is with the patient rather than family.$111.80

How 90847 has changed in North Carolina

90847 · Office / nonfacility

$108.42

Effective 2026-10-01

The base rate is $7.12 higher than on 2025-10-01, moving from $101.30 to $108.42 (7.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $101.30changed to$108.42

    • 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
    • Practice expense GPCI 0.926 changed to 0.933
    • Malpractice GPCI 0.665 changed to 0.639

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $100.48changed to$101.30

    • 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.

  3. March 9, 2024

    RVU24AR

    $98.84changed to$100.48

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $98.10changed to$98.84

    • 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
    • Practice expense GPCI 0.927 changed to 0.926
    • Malpractice GPCI 0.742 changed to 0.665

  5. January 1, 2023

    RVU23A

    $100.31changed to$98.10

    • 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
    • Practice expense GPCI 0.928 changed to 0.927
    • Malpractice GPCI 0.819 changed to 0.742

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $101.14changed to$100.31

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $105.44changed to$101.14

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.38 changed to 0.35
    • Practice expense GPCI 0.930 changed to 0.928
    • Malpractice GPCI 0.757 changed to 0.819

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $112.15changed to$105.44

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.59 changed to 0.38
    • Practice expense GPCI 0.931 changed to 0.930
    • Malpractice GPCI 0.695 changed to 0.757

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $109.01changed to$112.15

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.50 changed to 0.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $105.45changed to$109.01

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.40 changed to 0.50
    • Malpractice GPCI 0.732 changed to 0.695

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $105.30changed to$105.45

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.930 changed to 0.931
    • Malpractice GPCI 0.768 changed to 0.732

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $105.68changed to$105.30

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $105.16changed to$105.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $105.56changed to$105.16

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.41 changed to 0.40
    • Practice expense GPCI 0.929 changed to 0.930
    • Malpractice GPCI 0.732 changed to 0.768

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $86.86changed to$105.56

    • 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
    • Practice expense GPCI 0.927 changed to 0.929
    • Malpractice GPCI 0.695 changed to 0.732

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $86.86

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$108.42$102.19RVU26D
2026-07-01$108.42$102.19RVU26C
2026-04-01$108.42$102.19RVU26B
2026-01-01$108.42$102.19RVU26A
2025-10-01$101.30$101.00RVU25D
2025-07-01$101.30$101.00RVU25C
2025-04-01$101.30$101.00RVU25B
2025-01-01$101.30$101.00RVU25A
2024-10-01$100.48$99.86RVU24D
2024-07-01$100.48$99.86RVU24C
2024-04-01$100.48$99.86RVU24B
2024-03-09$100.48$99.86RVU24AR
2024-01-01$98.84$98.23RVU24A
2023-10-01$98.10$97.79RVU23D
2023-07-01$98.10$97.79RVU23C
2023-04-01$98.10$97.79RVU23B
2023-01-01$98.10$97.79RVU23A
2022-10-01$100.31$99.99RVU22D
2022-07-01$100.31$99.99RVU22C
2022-04-01$100.31$99.99RVU22B
2022-01-01$100.31$99.99RVU22A
2021-10-01$101.14$100.49RVU21D
2021-07-01$101.14$100.49RVU21C
2021-04-01$101.14$100.49RVU21B
2021-01-01$101.14$100.49RVU21A
2020-10-01$105.44$105.10RVU20D
2020-07-01$105.44$105.10RVU20C
2020-04-01$105.44$105.10RVU20B
2020-01-01$105.44$105.10RVU20A
2019-10-01$112.15$104.77RVU19D
2019-07-01$112.15$104.77RVU19C
2019-04-01$112.15$104.77RVU19B
2019-01-01$112.15$104.77RVU19A
2018-10-01$109.01$105.32RVU18D
2018-07-01$109.01$105.32RVU18C
2018-04-01$109.01$105.32RVU18B
2018-01-01$109.01$105.32RVU18AR1
2017-10-01$105.45$104.78RVU17D
2017-07-01$105.45$104.78RVU17C
2017-04-01$105.45$104.78RVU17B
2017-01-01$105.45$104.78RVU17A
2016-10-01$105.30$104.64RVU16D
2016-07-01$105.30$104.64RVU16C
2016-04-01$105.30$104.64RVU16B
2016-01-01$105.30$104.64RVU16A
2015-10-01$105.68$105.02RVU15D
2015-07-01$105.68$105.02RVU15C
2015-04-01$105.16$104.49RVU15B
2015-01-01$105.16$104.49RVU15A
2014-10-01$105.56$104.90RVU14D
2014-07-01$105.56$104.90RVU14C
2014-04-01$105.56$104.90RVU14B
2014-01-01$105.56$104.90RVU14A
2013-10-01$86.86$90.33RVU13D
2013-07-01$86.86$90.33RVU13C
2013-04-01$86.86$90.33RVU13B
2013-01-01$86.86$90.33RVU13AR

Price 90847 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

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
RVUs for 90847PPRRVU2026_Oct_nonQPP.csv, line 11,539 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

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