Medical Coding
Accurate CPT, ICD-10-CM and HCPCS coding, with audits that show where to improve.
About Medical CodingDermatology billing and coding
A single dermatology visit can include an exam, a biopsy and several destructions. We code each part from the documentation and keep medical services clearly apart from cosmetic ones.
Billing challenges in dermatology
Modifier 25 scrutiny
Dermatology often bills an exam with a same-day minor procedure, and payers look closely at whether the exam was truly separate.
Lesion details
Destruction, excision and biopsy codes depend on method, type, size and location, which all need to be in the note.
Medical versus cosmetic
A cosmetic service is not billed to insurance as medical, and patients need to know their cost beforehand.
Mohs and pathology
Mohs stages and in-house pathology have their own coding rules and unit counts.
Codes we commonly review
These are examples, not a full list. Coverage and coding rules vary by payer, so each claim is checked against the current rules and your documentation.
- 11102–11107 skin biopsy
- 17000–17004 premalignant destruction
- 17260–17286 malignant destruction
- 17311–17315 Mohs surgery
- 88305 surgical pathology
Services that often help
Physician Billing
Charge entry through payment posting for independent physicians and group practices.
About Physician BillingAR Management
Follow-up on aging claims, backlog cleanup and appeals before filing limits run out.
About AR ManagementGet a second look at your dermatology billing
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