Dermatology Billing
Dermatology billing involves the submission and management of insurance claims for services related to the diagnosis and treatment of skin, hair, and nail conditions. This specialty includes both medical and cosmetic procedures, making accurate billing essential to avoid denials and maximize revenue.
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What Is Dermatology Billing?
Dermatology billing covers:
Skin exams and biopsies
Cryotherapy and excisions
Acne and psoriasis treatments
Cosmetic services (not usually covered by insurance)
In-office surgical procedures
This specialty requires expertise in:
ICD-10 coding for dermatologic conditions
CPT codes for procedures and skin treatments
Proper use of modifiers (e.g., -25, -59, -76)
Navigating insurance exclusions for cosmetic services
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Challenges in Dermatology Billing
Mix of medical and cosmetic services
Payer denials for procedures deemed cosmetic
Modifier misuse (especially -25 and -59)
Bundled services and global periods
Insurance exclusions and prior authorizations
Rapidly changing payer rules and documentation standards
