What we handle for dermatology practices
Billers are assigned by specialty, so the person working your claims already knows your codes and your payers.
Biopsies and excisions
11102-11107 and excision codes billed to the documented lesion size including margins, not the specimen size.
Destruction and cryotherapy
17000 series billed with correct unit counts for multiple lesions.
Mohs surgery
17311-17315 billed by stage and block, with the pathology component handled correctly.
Pathology
Global versus professional-only billing depending on whether the specimen is read in house.
Where dermatology claims usually go wrong
These are the four issues we see most often when we take over a dermatology practice.
Lesion size measured after excision
Size must be documented before removal, including margins. Measuring the specimen understates the code and costs money on every claim.
Cosmetic versus medical necessity
Payers deny anything that reads as cosmetic. The note has to establish symptoms or suspicion of malignancy.
Modifier 59 on multiple lesions
Separate sites need correct modifier and site identification or the second and third lesions bundle away.
Pathology double billing
Billing global pathology when an outside lab read the specimen causes takebacks.
How we work
Eligibility, every day
Every next-day scheduled patient is verified for active coverage before the visit.
Charges validated
Codes and documentation are checked after the note is signed, before the claim is submitted.
Denials appealed
Every denial is reviewed, corrected and resubmitted. Nothing is written off by default.
Monthly reporting
Paid claims and AR aging reports so you can see exactly where your money is.
Dermatology billing questions
Something not covered here? Call (833) 305-5528.
Do you handle Mohs billing?
Yes, including stage and block counts and the associated repair codes.
Can you help with cosmetic-versus-medical documentation?
We flag notes that will not support medical necessity before the claim goes out, so the practice can decide how to proceed.
Do you bill dermatopathology?
Yes, both global and professional-only depending on your arrangement.