90846
No office rateFamily psytx w/o pt 50 min
Use 90847 when the patient participates in family psychotherapy; use 90846 when the family session occurs without the patient.
On this page
CMS RVU26D · Effective 2026-10-01
90847 Family therapy Medicare reimbursement rates in Rhode Island
Report 90847 for a 50-minute family psychotherapy session involving the patient and family members to address the patient’s behavioral health treatment needs. Compare 90847 office and facility rates across CMS payment localities in Rhode Island.
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.
What does Medicare pay for 90847 in Rhode Island?
Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$111.74
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$104.84
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Rhode Island, from the same CMS release.
$41.34
90849 is for psychotherapy involving multiple families together. 90847 is for the patient and the patient’s family.
$31.04
90853 describes group psychotherapy, not a conjoint session focused on the patient and the patient’s family.
$116.36
90834 is individual psychotherapy with the patient. 90847 is family psychotherapy with the patient and family members participating.
Compare 90847 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Rhode Island →
Office / nonfacility
$111.74
Facility
$104.84
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,539
- Code
- 90847
- Physician work
- 2.86
- Practice expense
- 0.40
- Malpractice
- 0.02
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.86 | × 1.019 | 2.9143 |
| Practice expense | 0.40 | × 1.033 | 0.4132 |
| Malpractice | 0.02 | × 0.892 | 0.0178 |
| Total RVUs | 3.3454 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$111.74
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.86 | 1.019 |
| Practice expense | 0.4 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(2.86 × 1.019 + 0.4 × 1.033 + 0.02 × 0.892) × $33.4009 = $111.74
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.86 | 1.019 |
| Practice expense | 0.2 | 1.033 |
| Malpractice | 0.02 | 0.892 |
(2.86 × 1.019 + 0.2 × 1.033 + 0.02 × 0.892) × $33.4009 = $104.84
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.
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.
11,53690840,,Psytx crisis ea addl 30 min,A,,1.71,0.58,,0.14,,0.02,2.31,1.87,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53790845,,Psychoanalysis,A,,2.40,0.83,,0.20,,0.04,3.27,2.64,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53890846,,Family psytx w/o pt 50 min,R,,2.74,0.40,,0.20,,0.03,3.17,2.97,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,53990847,,Family psytx w/pt 50 min,A,,2.86,0.40,,0.20,,0.02,3.28,3.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54090849,,Multiple family group psytx,A,,0.67,0.52,,0.21,,0.02,1.21,0.90,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54190853,,Group psychotherapy,A,,0.67,0.23,,0.05,,0.01,0.91,0.73,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54290863,,Pharmacologic mgmt w/psytx,I,+,0.48,0.27,,0.11,,0.03,0.78,0.62,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537