Dermatology billing combines medical, surgical and cosmetic services, and payers scrutinize each one. Correct modifier use, clear documentation of medical necessity and accurate lesion coding are essential to keep claims clean and payments on time.
Acne and rosacea
Psoriasis and eczema
Skin cancer screening and treatment
Actinic keratosis
Warts and benign lesions
Suspicious moles and lesions
Hair and nail disorders
Mohs micrographic surgery
| CPT Code | Description |
|---|---|
| 99202–99215 | New/established patient office visits |
| 11102 / 11104 | Tangential / punch biopsy of skin, single lesion |
| 17000 | Destruction of premalignant lesion, first lesion |
| 17110 | Destruction of benign lesions such as warts, up to 14 |
| 17311 | Mohs micrographic surgery, first stage |
Modifiers such as -25 and -59, and the line between medical and cosmetic services, are the most common sources of dermatology denials. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for dermatology practices.