Specialized Dermatology Billing Services

Our team includes specialists with deep expertise in Mohs micrographic surgery coding (17311-17315). We meticulously document each stage and block, apply proper modifiers, and navigate Medicare's complex Mohs reimbursement policies. Our knowledge of payer-specific LCDs ensures compliance while maximizing allowable reimbursement for each case.

We maintain a comprehensive database of payer-specific LCD/NCD policies for dermatology procedures. Our coding team reviews documentation against medical necessity criteria before submission, ensuring that each claim is supported by appropriate clinical documentation. We also assist with appeals when medically necessary claims are incorrectly denied as cosmetic.

Accurate lesion measurement is critical for correct excision coding (11400-11646). We train providers on proper documentation techniques including diameter measurement, depth assessment, and anatomical location description. Our pre-submission review process catches documentation gaps before claims are submitted, preventing denials and ensuring correct code assignment.

Multiple lesion excisions require careful modifier usage (59, XS, XU, etc.) and adherence to payer-specific bundling rules. Our coders are experienced in billing for multiple procedures, ensuring each excision is separately identifiable and properly documented. We stay current on CCI edits and payer-specific multiple procedure rules to maximize reimbursement for each lesion treated.

Yes. AR cleanup and denial management are core services. We analyze your existing AR, categorize denials by cause and financial impact, and develop a targeted recovery strategy. We work previously denied dermatology claims, including medical necessity appeals and corrected-coding resubmissions.