Dermatology Billing Services
Cure Core Solutions
Dermatology Medical Billing That Boosts Your Bottom Line
At Cure Core Solutions, we offer tailored dermatology billing services that improve collections, minimize claim rejections, and ensure compliance with payer policies. Whether you manage a private dermatology practice or a multi-location skin care center, we bring in the expertise and automation needed to optimize your billing process
What is Dermatology Medical Billing?
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Dermatology billing involves accurately coding and submitting claims for skin-related medical services, including surgical procedures, cosmetic treatments, and routine skin care. Since dermatology includes both medical and elective/cosmetic procedures, accurate billing requires clear documentation, correct CPT coding, modifier use, and understanding payer coverage limitations.
Dermatologists also face complex rules around biopsies, excisions, lesion removal, and cosmetic exclusions — all of which require detailed billing knowledge to avoid denials or revenue loss.
Patient Registration & Insurance Verification
Eligibility Check for Medical Necessity
ICD-10 & CPT Coding (including modifiers)
Claim Submission to Commercial, Medicare, or Self-Pay
Payment Posting & Reconciliation
Denial Management and Appeals
Patient Invoicing and Collection Follow-Up
Dermatology Billing Workflow
Common Challenges in Dermatology Billing
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- Differentiating cosmetic vs. medically necessary procedures
- Inappropriate or missing modifiers (e.g., 59, 25, RT/LT)
- Denials for biopsies, destruction, or excisions billed incorrectly
- Underpayment due to bundled services
- Documentation gaps for procedures needing prior authorization
- State-specific rules for teledermatology or mole mapping
Cure Core Solutions – Your Dermatology Billing Partner
Our experienced team of certified coders and billing specialists handles the full revenue cycle for dermatology practices, including compliance, reporting, and appeals.
✅ Our Dermatology Billing Services Include:
- Eligibility & Coverage Verification (Medical vs. Cosmetic)
- Accurate CPT/ICD-10/HCPCS Coding with Modifiers
- Clean Claim Submission with Real-Time Scrubbing
- Denial Resolution and Appeals Management
- Payment Posting & Reconciliation
- Cosmetic Billing (Patient-Pay) Setup
- Reporting on KPIs, Collections, and Productivity
EMR Integration with most dermatology platforms (e.g., EZDERM, ModMed, AdvancedMD)
Top 20 CPT Codes in Dermatology Billing
Tangential biopsy of skin; single lesion
Tangential biopsy; each additional lesion
Destruction of premalignant lesion (1st lesion)
Each additional premalignant lesion (up to 14) |
15 or more premalignant lesions |
Destruction of benign lesions (up to 14) |
Destruction of benign lesions (15+ lesions) |
Destruction of malignant lesion (trunk, <0.5cm) |
Malignant lesion, 0.6–1.0 cm |
Malignant lesion, 1.1–2.0 cm |
Mohs surgery, head/neck/hands, first stage
Mohs, each additional stage (same location)
Excision of benign lesion (<0.5 cm)
Excision of benign lesion (0.6–1.0 cm)
Excision of malignant lesion (<0.5 cm)
Excision of malignant lesion (0.6–1.0 cm)
Simple repair of superficial wounds (2.5 cm or less) |
Office/outpatient visit (established patient)
Frequently Asked Questions
No. Most cosmetic dermatology procedures (like Botox, fillers, laser treatments) are not covered by insurance. They are billed as patient self-pay and require upfront payment or signed waivers.
CPT 11102 refers to a tangential biopsy, while 11104 refers to a punch biopsy. Each code type requires specific documentation, and additional lesions are billed using +11103 or +11105 respectively
Common reasons include missing documentation of medical necessity, incorrect code selection (benign vs. malignant), or improper modifier use when done with another service.
Yes — but only if the evaluation was separately identifiable from the procedure. Use modifier 25 on the E/M code and document the need for both services.
We can set up workflows for collecting patient payments upfront, tracking cosmetic services separately from medical claims, and generating custom invoices with itemized services.