Dermatology Billing
Biopsy vs. destruction vs. excision logic, Mohs staging and cosmetic–medical separation — dermatology billing with precision.
Dermatology coding is measurement and intent: the same lesion can be a biopsy, a destruction or an excision, paid differently and audited on documentation of size, method and pathology. Elite Bill Care's dermatology billing gets those distinctions right.
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Dermatology billing specifics
- Procedure selection — shave vs. punch vs. excision, destruction of benign vs. premalignant vs. malignant lesions, each with its own code family and documentation (lesion size plus margins for excisions).
- Multiple-lesion logic — first-vs-additional lesion pricing rules and modifier use when several procedures share a session.
- Mohs surgery — 17311 family staged coding where the surgeon also reads pathology; billed only when the Mohs criteria are truly met.
- Medical vs. cosmetic — honest separation: cosmetic services are patient-pay under your policies, never dressed as medical claims; medical-necessity documentation (symptoms, change, suspicion) supports the rest.
- Pathology coordination — specimen handling and outside-pathology flows billed correctly without double-charging the interpretation.
How we run it
Procedure notes are checked against billed codes under coding support (sizes and margins present?), same-day E/M is billed only when separately identifiable, and denials are appealed with the clinical and photographic record where relevant. Full context: our billing services page.
Frequently asked questions
Do you bill for Mohs and general dermatology in one practice?
Yes — with the distinct documentation and staging rules for Mohs kept separate from general surgical dermatology.
How do you handle cosmetic consultations that become medical visits?
The claim follows the documented medical work; purely cosmetic portions remain patient-pay under your policy. The separation is documented, not improvised.