Dermatology mixes medical, surgical and cosmetic services, and each must be separated and documented correctly.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 99213 | Established patient office visit, moderate | Add -25 when a procedure is done the same day |
| 11102 | Skin biopsy by shave, single lesion | Add-on codes for each extra lesion |
| 11104 | Skin biopsy by punch, single lesion | Match code to biopsy method |
| 17000 | Destruction of a precancerous lesion (first) | Use 17003 for lesions 2 to 14 |
| 17110 | Destruction of benign lesions such as warts | Count of lesions drives the code |
| 11401 | Excision of benign skin lesion, small, trunk or limbs | Code by excised diameter incl. margins |
| 17311 | Mohs surgery, first stage, head or neck | Each added stage uses its own code |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsSurgical coding with laterality, modifiers and global periods handled properly.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.