Family and couples therapy on Grow uses the same booking and telehealth process as individual sessions, but with distinct billing and a few platform differences worth knowing. This article covers how sessions are organized, how to bill using the correct CPT codes, and what clients experience on their end.

Adding couples therapy as a speciality to your Grow provider profile helps clients who are searching specifically for this service find you. It also sets accurate expectations before a client books.

To indicate that you work with families and couples:

Grow's platform is structured around one identified client per chart. When you see a couple, one partner is designated as the identified client — typically the person whose insurance is being billed. All session records, notes, and forms are stored under that client's chart.
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The other partner is not a separately registered Grow client unless they have their own intake, chart, and billable diagnosis. In that case, they would be a fully separate client in your panel.
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Only the identified client receives Grow's intake forms before the first session. The partner does not need a Grow account or to complete a separate intake.
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That said, you are welcome to send the partner your own consent documentation or a collateral agreement outside of Grow's intake process. Only the identified client is required to acknowledge Grow's Informed Consent.

During a couple's session, the client sidebar in Grow telehealth displays information for the identified client only — the partner's information will not appear there, since only the identified client has a Grow account. For guidance on accessing client info during a session, see View client info during an appointment.

Only one Grow telehealth link is generated per appointment. To include the partner in a telehealth session, you or the identified client shares the session link with them in advance. Both individuals click the same link, enter their names when prompted, and wait in the waiting room until you admit them.

To locate a client’s unique Grow telehealth link:

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Both partners can attend a session using different devices and locations — they just need to use the same telehealth link. If both clients are in the same location, each person should ideally join from their own device in a private area to ensure good audio quality and privacy.

If partners are in different states at the time of the session, you must be licensed in both states to conduct the session. This is consistent with standard telehealth licensing requirements and applies to couples sessions just as it does to individual sessions.

When billing for couples or family therapy, you will identify one person as the identified client. This is the person whose insurance is being billed. The CPT codes used for couples sessions are family therapy codes, and they are billed under the identified client's chart — the same way individual sessions are billed under a single client.
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There are two codes for family and couples therapy:

For either code, the session must last at least 26 minutes. If the partner is only part of a session for fewer than 26 minutes, bill using the appropriate time-based individual CPT code for that portion.

If you hold individual sessions with each member of a couple as part of their treatment:

From a billing standpoint, you may offer individual therapy to each member of a couple in addition to couples sessions. If a partner will be seen for their own individual therapy — not as part of the couples treatment — they must be registered as a separate client in Grow with their own intake and a billable diagnosis.

At this time, clients cannot select a session type — such as couples counseling or family therapy — when booking through your Grow booking page. A couple may book what appears to be an individual session, or may assume that a specialty like "family conflict" includes couples work. Because of this, you may occasionally receive a booking where the clients intend to attend as a couple without this being apparent upfront.

If you offer couples therapy and a couple has booked, you can proceed with the session. Keep in mind:

If you do not offer couples therapy, there is currently no system-level way to prevent a couple from booking with you. To reduce the likelihood of this happening, we recommend adding a clear note to the Clients you serve section of your profile stating that you do not currently offer couples or family sessions. This makes your scope of practice visible to prospective clients before they book.
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If a couple has already booked and you are unable to see them, use the in-portal referral process and select Couples Counseling from the "Client need" drop-down menu to connect them with a provider who offers this service. For steps, see Refer a client to another Grow Therapy provider.
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No. Only the identified client — the person whose insurance is being billed — needs a Grow account. The partner joins via the telehealth link and does not complete a separate Grow intake.
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Grow's intake forms are only required for the identified client. You may choose to send the partner your own consent or collateral documentation outside of Grow's system.
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Yes. Both partners can join from separate devices and locations using the same telehealth link. If they are in different states at the time of the session, you must be licensed in both states.
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Select the partner whose insurance you are billing as the identified client. This is the person whose chart all session records will be stored under.

From a billing standpoint, yes. If you hold individual sessions with each partner as part of the couple's treatment, use CPT 90846 or 90847, depending on whether the identified client is present. If a partner will be seen for their own standalone individual therapy, they must be registered as a separate client with their own intake and billable diagnosis.

Reimbursement for couples and family therapy CPT codes is determined by each insurance plan and is typically set at a different rate than individual therapy codes. This reflects how payors categorize these service types industry-wide — many plans have different coverage structures for couples and family therapy compared to individual care, and some plans do not cover them at all.
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This is an industry-wide payor structure, not a Grow-specific decision. Refer to your rate sheet for your specific rates by plan.

The rate shown on your rate sheet for CPT code 90847 (family or couples psychotherapy with the identified client present) is per session, not per person. You bill once for the session regardless of how many participants attend. The same applies to 90846 (family or couples psychotherapy without the identified client present).

There is currently no system-level way to prevent this from happening. We recommend adding a note to your profile's Ideal Clients section to deter these bookings. If a couple has already booked and you cannot see them, use the in-portal referral process or cancel the appointment. See What to do if a couple books with you unexpectedly above.

Yes. Use the referral flow in your portal and select "Continue care for [client name]" when prompted. This keeps the client on your panel while generating a couples therapy referral. See Referring clients for couples therapy while continuing individual care above.
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