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Thread: Sibling therapy

  1. #1

    Question Sibling therapy

    AAPC: Back to School
    Hi everyone,
    Can anyone tell me how they are / would bill Sibling therapy with parents in the session and Sibling therapy without parents in the session. (Both Siblings btw are the patients)

    I contacted a major insurance for clarification of such, and was advised 90847 would apply however we would only be able to bill under 1 of the siblings.

    I feel there should be a better way to define this scenario with CPT.
    Any help would be greatly appreciated!

  2. #2


    The billing will go under the patients name, CPT 90846 Family without patient present or 90847 Family with patient present. The session/therapy is for the patients benefit, family members are not your patient. Documentation must state all that were present and topic of discussion.

  3. #3


    I appreciate your input! What about when 2 siblings are patients? Can we bill for both siblings in the same session? Would the same codes apply?

  4. #4
    Join Date
    Apr 2007
    Temple, TX


    If the siblings with the parents are all seen at the same time, I would think it would be ethical to only bill for one 90847. If the siblings are split up and each is seing the provider with their parents present, then I would think it is ok to bill 90847 for each child.
    When everyone is seen at the same time all issues are laid on the table at the same time. I don't see how it could be billed twice. Idk, just my opinion.
    The Oracle

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