Dermatology Billing That Pays What You Earn
Dermatology billing involves high procedure volume, complex pathology coordination, and significant cosmetic vs. medical billing distinctions. Shave excisions, biopsies, Mohs surgery, and photodynamic therapy all carry precise coding rules. Payers aggressively audit dermatology for cosmetic vs. reconstructive distinctions, upcoded destruction codes, and unbundling violations. 360Solutions provides dermatology-specialised coders who capture every stage of Mohs, every biopsy site, and every cosmetic-medical split accurately.
Where Dermatology Practices Lose Revenue
These are the coding and billing pitfalls that cost dermatology practices the most — and where our specialised billers add the most value.
Mohs Surgery Stage Billing
Mohs micrographic surgery codes (17311–17315) are billed per stage and per specimen. Missing a stage, miscounting tissue blocks, or failing to document the surgeon as both surgeon and pathologist results in significant underpayment.
Cosmetic vs. Medical Distinction
Payers deny procedures coded as medical when documentation suggests cosmetic intent. Lesion removals, skin tag excisions, and laser treatments require clear medical necessity language. We audit documentation before submission.
Biopsy Site Counting
Multiple biopsy codes (11102–11107) allow billing for additional sites with add-on codes. Practices routinely undercode by failing to bill all separate sites or by using the wrong biopsy technique code (shave vs. punch vs. incisional).
Pathology Coordination
Dermatology-generated pathology specimens billed under the same group practice require careful coordination of professional and technical components. We prevent double-billing issues and ensure both components are captured correctly.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Dermatology.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Mohs stage count in claim exceeds documented pathology block count
Lesion destruction coded as medical without medical necessity diagnosis
Multiple biopsy sites billed without using add-on codes correctly
Cosmetic procedure billed with ICD-10 code inconsistent with medical necessity
E&M billed same day as procedure without modifier -25
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Dermatology Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in dermatology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Dermatology Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified dermatology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.