Lesion count and size disputes
Claims reduced for counts or sizes not documented. We require measurements and counts in the note and bill from them.
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Dermatology medical billing services
Dermatology bills a high volume of small procedures — biopsies, destructions, excisions, Mohs — where lesion size, count, site and pathology drive the code and the payer looks for cosmetic exclusions. Accurate, specific coding is what separates full payment from a stream of reductions.
What makes dermatology billing different
General billers treat every specialty the same. These are the rules, code families and payer habits that decide whether dermatology claims pay the first time.
- Destruction codes (17000–17004 for premalignant, 17110–17111 for benign) are selected by lesion type and count, and the count must be documented.
- Excision codes depend on measured lesion size plus margins and on benign versus malignant pathology, which may require holding the claim for the path report.
- Biopsy codes (11102–11107) distinguish tangential, punch and incisional, and additional lesions use add-on codes.
- Cosmetic versus medically necessary determinations drive coverage; documentation of symptoms and medical necessity is required for payment.
Denials we see most in dermatology
Every denial gets a root cause, a fix and a feedback loop, so the same denial stops coming back.
Cosmetic denials
Procedures denied as cosmetic. We document medical necessity and appeal with the clinical rationale.
Pathology timing
Excisions billed before pathology, then coded wrong. We hold claims where the path result changes the code.
How Core MB bills for dermatology
A dedicated team that already knows your payers' rules, plus the reporting to prove it is working. Credentialing for new dermatology providers runs in the same system, tracked live in your client portal.
- Procedure coding from documented size, count, site and pathology.
- Medical-necessity documentation support for commonly challenged procedures.
- Mohs surgery billing with stage and block counts verified.
Everything in the service
The full revenue cycle as standard for dermatology practices, priced on what we collect for you. Take all of it, or start with one piece such as AR recovery or credentialing.
- Insurance verification and eligibility checks
- Charge entry and specialty-specific coding review
- Claim scrubbing and electronic submission
- Payer follow-up on every open claim
- Denial management and appeals
- Payment posting and reconciliation
- Accounts receivable recovery
- Patient statements and balance support
- Monthly reporting you can read in five minutes
- Provider credentialing and payer enrollment
Dermatology billing questions
Why do dermatology claims get reduced rather than denied?
Because payers often pay a lower code when the documentation does not support the billed one — a smaller excision, fewer lesions. Measured sizes and counts in the note prevent it.
Should excisions wait for pathology?
When the code depends on benign versus malignant, yes. We hold those claims for the path report so they are coded correctly the first time.
Do you bill Mohs surgery?
Yes. Mohs codes depend on stages and tissue blocks, both of which we verify against the operative report.
How do we get started with Core MB for dermatology billing?
Send us your specialty, provider count and monthly claim volume through the quote form and we will come back with a written proposal. Transitions run alongside your current billing so nothing is dropped, and credentialing for new dermatology providers can start at the same time.
Find out what your dermatology billing is leaving on the table
Send us a snapshot of your current billing and we will come back with a quote and a realistic view of recoverable revenue.