Dermatology Billing Services Tailored for Precision
Our dermatology billing experts are equipped to handle the unique coding and reimbursement challenges that dermatology practices face. From routine skin biopsies and cryotherapy to complex Mohs micrographic surgeries for skin cancer treatment, we ensure accurate coding and documentation to secure timely and correct reimbursements. Dermatology billing involves a wide range of medical, surgical, and cosmetic procedures, each requiring careful coding to avoid claim denials and underpayments.
Challenges in Dermatology Billing
Dermatology billing is intricate due to the variety of services offered, including both medical and cosmetic procedures. For medical dermatology, proving medical necessity is crucial to receive reimbursement, especially for procedures such as biopsies, excisions, and treatments for skin conditions. Documentation must align with the patient’s diagnosis and symptoms to meet payer requirements.
Most Used CPT Codes for Dermatology Billing:
- Skin Biopsy:
11102: Tangential biopsy of skin (shave, scoop, saucerize, curette); single lesion
11104: : Punch biopsy of skin; single lesion
11106:Incisional biopsy of skin (e.g., wedge); single lesion - Excision of Skin Lesions:
11400-11406: : Excision of benign lesion including margins, trunk, arms, or legs, depending on lesion diameter.
11600-11606: Excision of malignant lesion including margins, trunk, arms, or legs, depending on lesion diameter - Cosmetic Procedures:
15780:Dermabrasion, total face
17360: Chemical peel, face
17106: Destruction of cutaneous vascular proliferative lesions
- Destruction Procedures:
17000: Destruction (e.g., laser surgery, electrosurgery) of premalignant lesions (e.g., actinic keratoses); first lesion
17003: Destruction of each additional premalignant lesion (use with 17000)
17110: Destruction of benign lesions (e.g., warts, molluscum) up to 14 lesions - Cryotherapy:
17340: Cryotherapy for skin lesions such as actinic keratoses or warts - Mohs Micrographic Surgery:
17311:Mohs surgery for skin cancer, first stage, head, neck, hands, feet
17312: Mohs surgery, each additional stage
Probable Diagnosis Codes:
- D04.0: Carcinoma in situ of skin of lip (for excisions or Mohs surgery)
- D23.5: Benign neoplasm of skin, trunk (for excisions of benign lesions)
- L57.0: Actinic keratosis (for destruction procedures such as cryotherapy).
- Physical Examination: Describe relevant findings from the examination.
- B07.9: Viral warts, unspecified (for wart removal or cryotherapy)
- C44.01: Basal cell carcinoma of skin of lip (for Mohs surgery)
- L82.0: Seborrheic keratosis, inflamed (for excision of benign lesions)
Medical Necessity Documentation in Dermatology Billing
For many dermatological procedures, proving medical necessity is key to getting reimbursed, especially when dealing with conditions such as skin cancer (ICD-10 C44.91, C44.02), actinic keratoses (ICD-10 L57.0), or other dermatological diseases that require interventions like excisions, biopsies, or laser treatments. Without clear documentation linking the procedure to a diagnosis, insurers may deny claims, especially for cosmetic dermatology, which often does not meet medical necessity criteria unless it addresses functional impairments.
Enhancing Dermatology Billing with Nellikk.ai
Partnering with Nellikk.ai allows us to streamline the dermatology billing process with automation and advanced AI-based solutions. Our integration with Nellikk.ai enables us to:
Reduce billing errors Global billing encompasses prenatal visits, labor, delivery, and postnatal care. It is crucial to ensure proper documentation of all services provided to avoid undercoding or missing out on reimbursement.
Increase efficiency through automated claims generation, submission, and denial management processes, ensuring quicker payments.
Flag inconsistencies in coding, allowing for corrections to prevent denials and reduce revenue leakage.
Provide detailed and transparent reportson claim performance, helping practices monitor revenue cycle efficiency in real-time.
Why We Stand Ahead of the Competition
In addition to having specialized billing professionals with deep dermatology expertise, our partnership with Nellikk.ai gives us a unique advantage over the competition. Here’s why:
- Expertise in Dermatology Billing: Our team has extensive knowledge of dermatology-specific coding and payer requirements, which ensures accurate billing across all procedures.
- Automation for Error-Free Claims: Nellikk.ai’s AI-powered platform drastically reduces the chances of human errors and ensures clean claims submission every time
