Eligibility & Verification
Coverage checks before every visit.
Specialty Billing
Dermatology Medical Billing
Dermatology mixes medical and cosmetic services with detailed procedure and pathology coding. We document medical necessity and code excisions, biopsies, and path correctly to prevent denials.
The Challenge
Dermatology billing, solved
We understand the billing complexities unique to dermatology and build them into every claim.
- Lesion excision and biopsy coding
- Cosmetic vs. medical necessity
- In-house pathology billing
What we focus on
- Excision & destruction codes
- Biopsy & path billing
- Mohs surgery coding
Coding Focus
Dermatology code sets we work in
The CPT/HCPCS procedure families and ICD-10 diagnosis groups our certified coders handle for this specialty every day.
Common CPT / procedure codes
- 11400–11646Full-thickness removal of benign and malignant lesions
- 17000–17250Destruction of precancerous and benign skin growths
- 11102–11107Tissue sampling of suspicious skin lesions
- 17311–17315Staged Mohs micrographic tumor removal work
ICD-10 diagnosis focus
- C43–C44 melanoma and other skin cancers
- D22–D23 benign moles and skin growths
- L00–L99 inflammatory and infectious skin conditions
- D48.5 lesions of uncertain behavior
Code references are shown as general identifiers for illustration. Actual code selection always follows current payer rules and your provider's documentation.
Clean Claims
Modifiers, denials & billing rules we manage
How our team keeps dermatology claims compliant — the modifiers that matter, the denials we prevent, and the guidelines we follow.
Key modifiers
- 25
Added to a same-day office visit when the evaluation goes beyond the planned lesion procedure.
- 59
Distinguishes separately treated lesions or sites that would otherwise be bundled together.
- 51
Signals multiple procedures in one session so secondary services are priced correctly.
- 22
Reports unusually extensive work, such as an oversized or technically difficult excision.
Common denials & fixes
Excision code denied for missing lesion measurements.
Capture the lesion diameter plus clinical margins in the note before the excision is coded.
Destruction rejected as a cosmetic service.
Link the procedure to a symptomatic or premalignant diagnosis that establishes medical necessity.
Pathology charges bundled or duplicated.
Confirm ownership of the technical versus professional path work and report each component only once.
Mohs add-on stages denied as excessive.
Document each stage and tissue block count so additional units are clearly justified.
Billing guidelines
- Record each lesion's measured size and margins so excision codes map to the correct size tier.
- Bill lesion excision only when malignancy is documented or clinically suspected, tying the code to a supporting diagnosis.
- Report the pathology component separately and confirm whether your practice or an outside lab owns the technical work.
- Track Mohs stages and blocks precisely, since add-on units directly drive reimbursement.
End-to-End
What we handle for Dermatology
A complete revenue cycle service tailored to your specialty.
Specialty Coding
Certified, specialty-trained coders.
Charge Entry & Claims
Clean, accurate claim submission.
Payment Posting
ERA/EOB posting and reconciliation.
Denial & AR Management
Appeals and aggressive AR recovery.
Reporting & Analytics
Real-time KPIs and insights.
98%
Clean claim rate
30%
Average revenue lift
24/7
Operations coverage
HIPAA
Compliant processes
FAQ
Dermatology billing — FAQs
Yes — our certified coders are trained on specialty-specific rules, code sets, and payer policies, and we assign coders with experience in your specialty.
We work in your current practice management system and EHR, so your workflows and reporting stay intact while we handle the billing.
Through accurate specialty coding, front-end eligibility checks, clean claim submission, and relentless denial and AR follow-up — typically lifting first-pass acceptance and net collections.
Always. We use strict access controls, encryption, signed BAAs, and audit trails to protect patient data.
More Specialties
Other specialties we bill for
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