We Handle the Billing. You Handle the Healing
Dermatology billing is one of the most detail-intensive specialties, where procedure depth, lesion size, anatomical site, pathology linkage, and modifier usage must align perfectly. Clinics often face
Our outsourced dermatology billing services are built to meet CMS, Medicare, Medicaid, and commercial payer guidelines while maintaining full HIPAA compliance.
New & established patient E/M
Follow-up skin evaluations
Preventive skin cancer screenings
Acne, eczema & psoriasis visits
Medication management
Benign + malignant lesion excisions
Skin tag removal
Lipoma removal
Cyst excision
Simple + complex repairs
Layered closures
Shave excisions
Tangential biopsies
Punch biopsies
Incisional biopsies
Pathology review & interpretation
Documentation linkage
Stage-by-stage coding
Tissue block tracking
Histology mapping
Repairs (flaps, grafts, closures)
Modifier XS/XU rules applied
Botox for non-cosmetic conditions
Laser procedures
Phototherapy
Chemical peels
Cryotherapy
Electrosurgery
I&D
UV therapy
Wound care
Abscess drainage
Intralesional injections
For every dermatology encounter, we complete
Documentation review
ICD-10 + CPT cross-mapping
Lesion size & location verification
NCCI edit checks
Modifier selection (59, XS, RT/LT, 25, 76/77)
Medical necessity validation
Prior authorization review
Payer-guideline alignment
Compliance verification
Fix: Automated global-period tracking + coder review.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
Every claim is coded, checked, and validated with precision.
CO-50
CO-16
CO-97
CO-151
PR-1
CO-109
Not medically necessary
Missing info
Bundled service
Frequency limit
Deductible
Not covered
Lesion removal lacking documentation
Missing lesion size, location, pathology
Excision + biopsy billed incorrectly
Repeated treatments too soon
Routine dermatology visits
Cosmetic services billed incorrectly
Add ICD support + progress notes
Update documentation + resubmit
Apply 59/XS modifier when allowed
Eligibility verification
Collect upfront
Verify coverage + apply medical necessity
Speak with dermatology billing experts who understand lesion
coding, pathology workflows, and Mohs compliance.
Billing for medical, surgical, and pathology services, including biopsies, excisions, Mohs, repairs, and in-office procedures.
Due to lesion-based coding, modifier dependencies, pathology linkage, global periods, and payer-specific medical necessity rules
Yes, only when medically necessary or covered by payer rules.
Yes, including stage-based coding, histology mapping, and repair bundling rules.
Yes, our clients typically see a 30–50% denial reduction.
Yes, biopsy → pathology → treatment workflows included.
Yes, ModMed, EMA, Practice Fusion, eCW, Epic, Athena, and more.
Yes, aggressive 30/60/90+ day follow-up with appeals.
Yes, Medicare, Medicaid, commercial plans, and CAQH.
Yes. We provide HIPAA-compliant dermatology medical billing and RCM services for practices across all U.S. states
