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CMS RVU26D · Effective 2026-10-01

90847 in Delaware

Office / nonfacility

$109.80

Base rate per service

Facility setting

$103.20

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Psychotherapy

About 90847: Family psychotherapy with patient present

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

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.

Where the value comes from

  • Work RVU2.86 · 87%
  • Practice expense (office) RVU0.40 · 12%
  • Malpractice RVU0.02 · 1%

122.3K

Medicare services in 2024 · #509 by national volume

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.

90847 compared with similar codes

Office rates for Delaware, from the same CMS release.

90846

Family psytx w/o pt 50 min

No office rate

Use 90847 when the patient participates in family psychotherapy; use 90846 when the family session occurs without the patient.

90849

Family group therapy

Multiple families

$40.25

90849 is for psychotherapy involving multiple families together. 90847 is for the patient and the patient’s family.

90853

Group psychotherapy

Single-patient group session

$30.38

90853 describes group psychotherapy, not a conjoint session focused on the patient and the patient’s family.

90834

Psychotherapy session

45 minutes, without E/M

$113.92

90834 is individual psychotherapy with the patient. 90847 is family psychotherapy with the patient and family members participating.

The same code, a different location

How does Delaware compare?

90847 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $109.80

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $115.69

    $5.89 higher than Delaware

  3. Dc + Md/Va Suburbs

    $117.17

    $7.37 higher than Delaware

  4. Miami

    $111.12

    $1.32 higher than Delaware

  5. Chicago

    $111.16

    $1.36 higher than Delaware

  6. Manhattan

    $118.22

    $8.42 higher than Delaware

  7. Alaska*

    $157.89

    $48.09 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 90847 ranges from $107.35 in Arkansas to $157.89 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 90847

    Office

    $107.59

    Facility

    $101.75

    $2.21 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 90847

    Office

    $107.35

    Facility

    $101.61

    $2.45 lower than Delaware for the office setting.

  • Arizona

    Arizona · 90847

    Office

    $109.04

    Facility

    $102.57

    $0.76 lower than Delaware for the office setting.

  • Bakersfield

    California · 90847

    Office

    $112.39

    Facility

    $105.07

    $2.59 higher than Delaware for the office setting.

  • Chico

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • El Centro

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Fresno

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Madera

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Merced

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Modesto

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Napa

    California · 90847

    Office

    $119.49

    Facility

    $110.69

    $9.69 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 90847

    Office

    $114.41

    Facility

    $106.51

    $4.61 higher than Delaware for the office setting.

  • Redding

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Rest Of California

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 90847

    Office

    $112.46

    Facility

    $105.14

    $2.66 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 90847

    Office

    $114.86

    Facility

    $107.09

    $5.06 higher than Delaware for the office setting.

  • Salinas

    California · 90847

    Office

    $114.33

    Facility

    $106.59

    $4.53 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 90847

    Office

    $114.73

    Facility

    $106.74

    $4.93 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 90847

    Office

    $123.75

    Facility

    $114.33

    $13.95 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 90847

    Office

    $123.72

    Facility

    $114.30

    $13.92 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 90847

    Office

    $125.66

    Facility

    $116.03

    $15.86 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 90847

    Office

    $125.57

    Facility

    $115.93

    $15.77 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 90847

    Office

    $112.73

    Facility

    $105.12

    $2.93 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 90847

    Office

    $114.12

    Facility

    $106.01

    $4.32 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 90847

    Office

    $114.14

    Facility

    $106.35

    $4.34 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 90847

    Office

    $115.16

    Facility

    $106.95

    $5.36 higher than Delaware for the office setting.

  • Stockton

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Vallejo

    California · 90847

    Office

    $119.46

    Facility

    $110.66

    $9.66 higher than Delaware for the office setting.

  • Visalia

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Yuba City

    California · 90847

    Office

    $112.15

    Facility

    $104.83

    $2.35 higher than Delaware for the office setting.

  • Colorado

    Colorado · 90847

    Office

    $111.41

    Facility

    $104.30

    $1.61 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 90847

    Office

    $112.63

    Facility

    $105.44

    $2.83 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 90847

    Office

    $110.27

    Facility

    $103.50

    $0.47 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 90847

    Office

    $109.30

    Facility

    $102.92

    $0.50 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 90847

    Office

    $110.19

    Facility

    $103.40

    $0.39 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 90847

    Office

    $108.24

    Facility

    $102.28

    $1.56 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 90847

    Office

    $111.10

    Facility

    $103.51

    $1.30 higher than Delaware for the office setting.

  • Iowa

    Iowa · 90847

    Office

    $108.02

    Facility

    $101.90

    $1.78 lower than Delaware for the office setting.

  • Idaho

    Idaho · 90847

    Office

    $108.13

    Facility

    $101.99

    $1.67 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 90847

    Office

    $109.16

    Facility

    $103.02

    $0.64 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 90847

    Office

    $108.77

    Facility

    $102.67

    $1.03 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 90847

    Office

    $111.10

    Facility

    $104.24

    $1.30 higher than Delaware for the office setting.

  • Indiana

    Indiana · 90847

    Office

    $108.24

    Facility

    $102.04

    $1.56 lower than Delaware for the office setting.

  • Kansas

    Kansas · 90847

    Office

    $107.94

    Facility

    $101.90

    $1.86 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 90847

    Office

    $108.02

    Facility

    $102.08

    $1.78 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 90847

    Office

    $108.86

    Facility

    $102.57

    $0.94 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 90847

    Office

    $107.99

    Facility

    $102.08

    $1.81 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 90847

    Office

    $115.99

    Facility

    $108.01

    $6.19 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 90847

    Office

    $111.66

    Facility

    $104.62

    $1.86 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 90847

    Office

    $112.22

    Facility

    $105.05

    $2.42 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 90847

    Office

    $110.62

    Facility

    $103.86

    $0.82 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 90847

    Office

    $108.23

    Facility

    $102.09

    $1.57 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 90847

    Office

    $109.19

    Facility

    $102.57

    $0.61 lower than Delaware for the office setting.

  • Detroit

    Michigan · 90847

    Office

    $109.55

    Facility

    $103.10

    $0.25 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 90847

    Office

    $108.48

    Facility

    $102.38

    $1.32 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 90847

    Office

    $109.47

    Facility

    $102.60

    $0.33 lower than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 90847

    Office

    $108.72

    Facility

    $102.45

    $1.08 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 90847

    Office

    $108.91

    Facility

    $102.56

    $0.89 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 90847

    Office

    $107.69

    Facility

    $101.94

    $2.11 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 90847

    Office

    $107.52

    Facility

    $101.77

    $2.28 lower than Delaware for the office setting.

  • Montana**

    Montana · 90847

    Office

    $109.55

    Facility

    $102.87

    $0.25 lower than Delaware for the office setting.

  • North Carolina

    North Carolina · 90847

    Office

    $108.42

    Facility

    $102.19

    $1.38 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 90847

    Office

    $109.16

    Facility

    $102.48

    $0.64 lower than Delaware for the office setting.

  • Nebraska

    Nebraska · 90847

    Office

    $108.11

    Facility

    $101.94

    $1.69 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 90847

    Office

    $110.02

    Facility

    $103.07

    $0.22 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 90847

    Office

    $117.76

    Facility

    $110.01

    $7.96 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 90847

    Office

    $114.67

    Facility

    $107.38

    $4.87 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 90847

    Office

    $108.58

    Facility

    $102.45

    $1.22 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 90847

    Office

    $109.46

    Facility

    $102.77

    $0.34 lower than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 90847

    Office

    $118.77

    Facility

    $110.82

    $8.97 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 90847

    Office

    $115.26

    Facility

    $107.95

    $5.46 higher than Delaware for the office setting.

  • Queens

    New York · 90847

    Office

    $118.40

    Facility

    $110.50

    $8.60 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 90847

    Office

    $108.69

    Facility

    $102.34

    $1.11 lower than Delaware for the office setting.

  • Ohio

    Ohio · 90847

    Office

    $108.40

    Facility

    $102.30

    $1.40 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 90847

    Office

    $107.98

    Facility

    $102.01

    $1.82 lower than Delaware for the office setting.

  • Portland

    Oregon · 90847

    Office

    $112.40

    Facility

    $104.97

    $2.60 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 90847

    Office

    $109.30

    Facility

    $102.65

    $0.50 lower than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 90847

    Office

    $111.95

    Facility

    $105.00

    $2.15 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 90847

    Office

    $108.42

    Facility

    $102.29

    $1.38 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 90847

    Office

    $109.69

    Facility

    $102.94

    $0.11 lower than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 90847

    Office

    $111.74

    Facility

    $104.84

    $1.94 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 90847

    Office

    $108.44

    Facility

    $102.27

    $1.36 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 90847

    Office

    $109.11

    Facility

    $102.43

    $0.69 lower than Delaware for the office setting.

  • Tennessee

    Tennessee · 90847

    Office

    $108.03

    Facility

    $101.96

    $1.77 lower than Delaware for the office setting.

  • Austin

    Texas · 90847

    Office

    $110.44

    Facility

    $103.38

    $0.64 higher than Delaware for the office setting.

  • Beaumont

    Texas · 90847

    Office

    $108.31

    Facility

    $102.23

    $1.49 lower than Delaware for the office setting.

  • Brazoria

    Texas · 90847

    Office

    $110.05

    Facility

    $103.43

    $0.25 higher than Delaware for the office setting.

  • Dallas

    Texas · 90847

    Office

    $110.27

    Facility

    $103.61

    $0.47 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 90847

    Office

    $110.14

    Facility

    $103.55

    $0.34 higher than Delaware for the office setting.

  • Galveston

    Texas · 90847

    Office

    $110.11

    Facility

    $103.48

    $0.31 higher than Delaware for the office setting.

  • Houston

    Texas · 90847

    Office

    $110.48

    Facility

    $103.84

    $0.68 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 90847

    Office

    $108.81

    Facility

    $102.47

    $0.99 lower than Delaware for the office setting.

  • Utah

    Utah · 90847

    Office

    $108.69

    Facility

    $102.41

    $1.11 lower than Delaware for the office setting.

  • Virginia

    Virginia · 90847

    Office

    $109.13

    Facility

    $102.56

    $0.67 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 90847

    Office

    $109.69

    Facility

    $102.94

    $0.11 lower than Delaware for the office setting.

  • Vermont

    Vermont · 90847

    Office

    $109.09

    Facility

    $102.48

    $0.71 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 90847

    Office

    $111.35

    Facility

    $104.31

    $1.55 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 90847

    Office

    $117.24

    Facility

    $109.05

    $7.44 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 90847

    Office

    $108.53

    Facility

    $102.13

    $1.27 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 90847

    Office

    $108.09

    Facility

    $102.29

    $1.71 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 90847

    Office

    $109.38

    Facility

    $102.70

    $0.42 lower than Delaware for the office setting.

See how rates vary across the country

90847 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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 all state and territory rates as a table
State / territoryRate 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

Explore 90847 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 90847 in Delaware, the physician’s office rate is $109.80 and the facility-setting rate is $103.20: a difference of $6.60.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 90847 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$120.78

$109.80 × 110% = $120.78

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 90847 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

11,539

Code
90847
Physician work
2.86
Practice expense
0.40
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 90847 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.86× 1.0052.8743
Practice expense0.40× 0.9880.3952
Malpractice0.02× 0.8990.0180
Total RVUs3.2875
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$109.80

Open 90847 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.861.005
Practice expense0.40.988
Malpractice0.020.899

(2.86 × 1.005 + 0.4 × 0.988 + 0.02 × 0.899) × $33.4009 = $109.80

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.861.005
Practice expense0.20.988
Malpractice0.020.899

(2.86 × 1.005 + 0.2 × 0.988 + 0.02 × 0.899) × $33.4009 = $103.20

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

90847 · Office / nonfacility

$109.80

Effective 2026-10-01

The base rate is $6.34 higher than on 2025-10-01, moving from $103.46 to $109.80 (6.1%).

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

    $103.46changed to$109.80

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $103.46

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$109.80$103.20RVU26D
2026-07-01$109.80$103.20RVU26C
2026-04-01$109.80$103.20RVU26B
2026-01-01$109.80$103.20RVU26A
2025-10-01$103.46$103.14RVU25D
2025-07-01$103.46$103.14RVU25C
2025-04-01$103.46$103.14RVU25B
2025-01-01$103.46$103.14RVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 90847PPRRVU2026_Oct_nonQPP.csv, line 11,539 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet