Derm Practices Served
Clean Claim Rate
Revenue Recovered
Claim Turnaround
Dermatology billing sits at the boundary between medical and cosmetic services, and that boundary determines whether a claim gets paid or denied. Biopsy coding, Mohs surgery billing, destruction of lesions, and the critical distinction between medical and cosmetic procedures all require specialty-specific knowledge that general billers lack.
We handle dermatology billing with precision across every procedure type. From proper lesion coding with size-based CPT selection to pathology coordination, our workflows are built to capture full revenue while keeping your practice compliant.
Every Dermatology billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
Payers only cover medically necessary dermatology services. Practices that mix cosmetic and medical services must maintain separate billing streams. A single cosmetic charge submitted to insurance can trigger an audit of the entire practice.
Skin biopsies involve the procedure code (11102-11107), pathology interpretation (88305), and potentially special stains (88312-88314). Each component must be billed by the correct provider with proper coordination to avoid duplicate charges.
Destruction of benign lesions (17110-17111) and premalignant lesions (17000-17004) are billed by lesion count and method. Miscounting lesions or selecting the wrong destruction method code reduces reimbursement.
Mohs micrographic surgery (17311-17315) is billed per stage and per tissue block. Each stage requires separate documentation, and the billing must accurately reflect the number of stages and blocks processed.
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
Biopsy coding with pathology charge coordination
Mohs surgery multi-stage and tissue block billing
Destruction procedure coding by lesion count and method
Medical vs cosmetic service separation and compliance
Excision coding with size-based CPT selection
Prior authorization for biologic drugs (psoriasis, eczema)
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Dermatology billing sits at the boundary between medical and cosmetic services, and that boundary determines whether a claim gets paid or denied. Biopsy coding, Mohs surgery billing, destruction of lesions, and the critical distinction between medical and cosmetic procedures all require specialty-specific knowledge that general billers lack.
We handle dermatology billing with precision across every procedure type. From proper lesion coding with size-based CPT selection to pathology coordination, our workflows are built to capture full revenue while keeping your practice compliant.
Answers to the questions practice owners and managers ask most often before switching billing partners.
We code each biopsy using the correct technique code: tangential (11102), punch (11104), or incisional (11106). Additional biopsies of the same type use the add-on codes (11103, 11105, 11107). We coordinate with pathology to ensure the specimen interpretation (88305) is billed by the appropriate provider.
Mohs surgery is billed using 17311 for the first stage on the first specimen (head/neck/hands/feet/genitalia) or 17313 (trunk/extremities), plus 17312 or 17314 for each additional stage. Each tissue block within a stage is documented separately. We verify that operative notes support every stage and block billed.
We maintain separate charge workflows for medical and cosmetic services. Medical services are submitted to insurance with appropriate diagnosis codes. Cosmetic services are billed directly to the patient. We flag any services that could fall in a gray area for physician documentation review before submission.
Yes. Biologics like Humira, Skyrizi, and Dupixent for psoriasis and eczema require prior authorization with clinical documentation including severity scores (PASI, BSA), previous treatment failures, and photographs. We compile these materials and manage the authorization process.
The top errors are using the wrong destruction code (benign vs premalignant), miscounting lesions for destruction procedures, failing to bill pathology separately from biopsy procedures, and submitting cosmetic services to insurance carriers.
Yes. Phototherapy codes (96900 for actinotherapy, 96910-96913 for photochemotherapy) are billed per session. We track treatment sessions, manage prior authorizations for extended phototherapy courses, and ensure the correct code is selected based on the light source and treatment protocol.
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
Get a revenue review and a clear action plan tailored to your practice, payers, and claim mix.