Dermatology billing lives or dies on one distinction: medical vs. cosmetic. We keep that line clean - so medical claims pay and cosmetic services never create compliance risk.
The specialty-specific billing traps we fix every day for dermatology practices.
Botox for migraines vs. wrinkles changes everything about the claim. We build visit-level workflows that document medical necessity where it exists - and keep cosmetic services cleanly self-pay.
Mohs stages (17311–17315) with multiple stages, blocks and repairs are a top audit target. Our coders stage precisely and link every pathology report.
Biologics mean prior auth battles. We run proactive auth and re-auth workflows so treatment isn’t delayed and claims aren’t denied.
In-house vs. reference-lab pathology changes the billing. We reconcile pathology charges to procedures so nothing is missed or double-billed.
A sample of the dermatology codes where small errors cost real money.
| Code | What it covers | Where practices lose money |
|---|---|---|
| 17311–17315 | Mohs micrographic surgery | Under-staged or missing stage documentation - the #1 Mohs audit trigger. |
| 11102–11104 | Tangential/punch/incisional biopsy | Biopsy bundled into E/M without modifier 25 - or vice versa. |
| 17000–17004 | Destruction of lesions | Medical necessity documentation for each lesion; cosmetic removals must stay self-pay. |
| J-codes | Biologic injections | Prior auth + medical necessity on file before the claim, every time. |
The same proven process behind every dermatology engagement.
Send one billing export. We map denials, AR aging and underpayments - free.
You get a prioritized action plan with projected recoveries before you commit.
Denials appealed, AR worked, workflows fixed - inside your systems.
Transparent reporting. You pay 5%% of what we collect - nothing else.
Straight answers for dermatology practices.
Send one billing export. We'll show you the leaks, the stuck AR and the denials worth fighting - before you spend a dollar.