# CPT 90847: Family psychotherapy, with patient present

Medicare CPT 90847 pays $109.55 in a non-facility setting and $102.87 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $107.35 in Arkansas to $157.89 in Alaska, a 47% spread.

Web page: https://www.med-reveal.com/rates/90847-cpt-fee-schedule
Section: Behavioral Health
Billed by: Child & Adolescent Psychiatry, Clinical Neuropsychologist, Counselor, Marriage & Family Therapist, Methadone Clinic, Psychiatry & Neurology, Psychoanalyst, Social Worker

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $109.55 |
| National facility | $102.87 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $157.89 | $150.77 |
| District of Columbia | $117.17 | $109.30 |
| New Jersey | $116.22 | $108.70 |
| New York | $115.87 | $108.41 |
| California | $115.12 | $107.22 |
| Washington | $114.29 | $106.68 |
| Massachusetts | $113.82 | $106.32 |
| Connecticut | $112.63 | $105.44 |
| Rhode Island | $111.74 | $104.84 |
| Maryland | $111.42 | $104.46 |
| Colorado | $111.41 | $104.30 |
| Hawaii | $111.10 | $103.51 |
| Oregon | $110.85 | $103.81 |
| Florida | $110.23 | $103.53 |
| Pennsylvania | $110.19 | $103.65 |
| Illinois | $110.05 | $103.59 |
| New Hampshire | $110.02 | $103.07 |
| Texas | $109.83 | $103.25 |
| Delaware | $109.80 | $103.20 |
| Puerto Rico | $109.69 | $102.94 |
| Virgin Islands | $109.69 | $102.94 |
| Montana | $109.55 | $102.87 |
| Minnesota | $109.47 | $102.60 |
| Nevada | $109.46 | $102.77 |
| Wyoming | $109.38 | $102.70 |
| Georgia | $109.22 | $102.84 |
| North Dakota | $109.16 | $102.48 |
| Virginia | $109.13 | $102.56 |
| South Dakota | $109.11 | $102.43 |
| Vermont | $109.09 | $102.48 |
| Arizona | $109.04 | $102.57 |
| Michigan | $109.02 | $102.74 |
| Maine | $108.71 | $102.33 |
| Utah | $108.69 | $102.41 |
| New Mexico | $108.58 | $102.45 |
| Wisconsin | $108.53 | $102.13 |
| Missouri | $108.44 | $102.32 |
| South Carolina | $108.44 | $102.27 |
| Louisiana | $108.43 | $102.32 |
| North Carolina | $108.42 | $102.19 |
| Ohio | $108.40 | $102.30 |
| Indiana | $108.24 | $102.04 |
| Idaho | $108.13 | $101.99 |
| Nebraska | $108.11 | $101.94 |
| West Virginia | $108.09 | $102.29 |
| Tennessee | $108.03 | $101.96 |
| Iowa | $108.02 | $101.90 |
| Kentucky | $108.02 | $102.08 |
| Oklahoma | $107.98 | $102.01 |
| Kansas | $107.94 | $101.90 |
| Alabama | $107.59 | $101.75 |
| Mississippi | $107.52 | $101.77 |
| Arkansas | $107.35 | $101.61 |

## Related codes

- 90846: Family psychotherapy, without patient present — https://www.med-reveal.com/rates/90846-cpt-fee-schedule
- 90849: Multiple-family group psychotherapy — https://www.med-reveal.com/rates/90849-cpt-fee-schedule
- T1006: Alcohol/substance abuse services, family/couple counseling — https://www.med-reveal.com/rates/T1006-hcpcs-fee-schedule

Commercial negotiated rates for 90847 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules