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Dermatology Billing Services

Lesion coding, pathology, Mohs and cosmetic/medical separation.

2.9%Denial rate
+21%Revenue lift
23Days in A/R

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Billing challenges in this specialty

  • Lesion size, count and margin documentation
  • Destruction vs. excision vs. shave coding
  • In-house pathology component billing
  • Cosmetic vs. medically necessary determinations
  • Modifier 25 scrutiny on same-day E/M plus procedure

What we deliver

  • Lesion-level coding from procedure notes
  • Mohs surgery staged billing
  • Dermatopathology billing and component splits
  • Cosmetic self-pay workflow separate from claims
  • Modifier 25/59 audit protection
  • Biologics and prior authorization support

Common codes we handle

1110211402170001711017311883059637299213-25

Dermatology claims hinge on lesion counts, sizes, and whether a service is medical or cosmetic. Small documentation gaps translate directly into downcoded or denied claims.

We bill medical dermatology, Mohs surgery, and in-house pathology, and keep cosmetic revenue cleanly separated from insurance billing.

Frequently asked questions

Do you bill in-house pathology?

Yes, including global and component billing depending on your lab arrangement.

How do you handle cosmetic services?

They run through a separate self-pay workflow so they never contaminate payer claims.