Dermatology Billing Services

Our Specialties

Dermatology Billing Services

Specialized billing solutions for dermatology practices and skin care centers to optimize revenue, reduce denials, and streamline billing for complex dermatological procedures.

Dermatology Billing Services

Our Services

Dermatology Billing Expertise

  • Expertise in dermatology procedure coding (17XXX codes)
  • Specialized knowledge of Mohs surgery billing requirements
  • Experience with cosmetic vs. medical procedure differentiation
  • Familiarity with dermatopathology coding and billing
  • Management of injectable and biologic medication billing
  • Optimization of Evaluation and Management (E/M) coding for dermatology
  • Compliance with National Correct Coding Initiative (NCCI) edits
  • Experience with dermatology-specific quality reporting programs

Coding Expertise

Common Dermatology CPT Codes

Code Description
11100 Biopsy of skin, subcutaneous tissue and/or mucous membrane, single lesion
17000 Destruction of premalignant lesions, first lesion
17110 Destruction of benign lesions other than skin tags or cutaneous vascular lesions
17311 Mohs micrographic surgery, first stage
96372 Therapeutic, prophylactic, or diagnostic injection, subcutaneous or intramuscular

Our Process

Dermatology Billing Process

Our comprehensive approach ensures maximum revenue and minimal administrative burden for your dermatology practice.

Patient Registration

Patient Registration & Insurance Verification

We verify dermatology-specific insurance benefits and coverage for Dermatology procedures, tests, and devices before services are rendered, including:

  • Verification of coverage for diagnostic Dermatology tests (cystoscopies, urodynamics)
  • Pre-authorization for Dermatology procedures and interventions
  • Coverage confirmation for implantable Dermatology devices
  • Patient responsibility estimation for high-cost Dermatology procedures
  • Coordination of benefits for post-operative Dermatology care
Dermatology Coding

Specialized Dermatology Coding

Our dermatology coding specialists ensure accurate code assignment for all Dermatology services:

  • Precise coding for diagnostic dermatology services (cystoscopies, urodynamics, imaging)
  • Expert coding for surgical Dermatology procedures (prostatectomies, nephrectomies)
  • Accurate device coding (stents, slings, prosthetics)
  • Proper modifiers for multiple Dermatology procedures
  • Compliant documentation support for complex Dermatology procedures
Claim Submission

Clean Claim Submission

We achieve a 98% clean claim rate for dermatology services through our thorough process:

  • Dermatology-specific claim scrubbing to identify coding errors
  • Verification of medical necessity documentation for Dermatology procedures
  • Inclusion of required diagnostic test results
  • Proper sequencing of Dermatology diagnosis and procedure codes
  • Electronic submission to all major payers within 24-48 hours
Denial Management

Dermatology Denial Management

Our specialized approach to Dermatology claim denials includes:

  • Expertise in appealing medical necessity denials for Dermatology procedures
  • Management of bundling/unbundling issues common in dermatology
  • Documentation support for complex Dermatology intervention appeals
  • Appeals for denied device implantation procedures
  • Monitoring and addressing dermatology-specific payer policy changes
Performance Analytics

Dermatology Practice Analytics

Our dermatology-specific reporting and analytics help optimize your practice:

  • Procedure-specific profitability analysis
  • Revenue analysis by service line (diagnostic, surgical, dermatology)
  • Payer-specific performance metrics for Dermatology services
  • Denial trend analysis by procedure type
  • Recommendations for revenue optimization by service area

frequently asked questions

Dermatology Billing FAQs

Get answers to common questions about our dermatology medical billing services, coding challenges, and revenue optimization strategies.

We carefully review documentation to determine whether procedures meet medical necessity criteria for insurance coverage. For procedures with both cosmetic and medical applications, we ensure appropriate modifiers and documentation support the medical necessity when applicable, while also helping implement effective processes for collecting payment for non-covered cosmetic services.

Yes, we specialize in Mohs surgery billing and understand the specific documentation requirements, including appropriate tissue blocks, stages, and diagrams. We ensure proper coding for each stage and repair, maximizing appropriate reimbursement while maintaining compliance with payer-specific guidelines.

We have extensive experience billing for biologic medications used in treating psoriasis and other dermatological conditions. Our team manages prior authorizations, tracks J-codes accurately, and ensures proper documentation of medical necessity, administration, and wastage when applicable to optimize reimbursement for these high-cost medications.

Ready to optimize your dermatology revenue cycle?

Contact us today for a free consultation and learn how our specialized dermatology billing services can benefit your practice.

How can we help you?

I can help with dermatology billing questions, insurance information, or scheduling assistance.