What is MBW RCM expertise in dermatology?

Our team of medical billing and coding professionals is competent in understanding the unique attributes of dermatology billing. We have a client base across all 50 states and are certified by the AAPC.

What are the top reasons for denials in dermatology?

Denials stem from incorrect coding, lack of documentation, pre-authorization issues, and exceeding frequency limits.

Why outsource dermatology billing services?

Outsourcing ensures focus on patient care while professionals handle compliance and maximize revenue.

What is the value of using MBW RCM for dermatology billing?

Decades of experience, certified staff, and high compliance standards help maximize collections.

How does MBW RCM ensure compliance with regulations?

Ongoing training, audits, and adherence to HIPAA, HITECH, MACRA ensure compliance.

What is CPT in dermatology?

CPT codes describe medical procedures. In dermatology, they include excision, biopsy, cryosurgery, and lesion destruction codes.

How can dermatology clinics reduce denials?

Accurate documentation, regular audits, and pre-authorization are key strategies.

How often are dermatology billing codes updated?

CPT codes are updated annually. Staying informed ensures billing compliance.

Does dermatology require prior authorization?

Many procedures, especially cosmetic or surgical, may require prior authorization.

Transform Your Dermatology Practice: Advanced Billing Solutions for Enhanced Care

Empowering Dermatologists with Seamless Financial Management for Better Patient Outcomes

Home > Medical Specialties > Dermatology Billing Services

Dermatology Billing Services

Dermatology billing services can be intricate and complex as requirements have evolved immensely over the years. Successful billing requires:

A clear description of skin lesions, including their size, number, and exact location.
Detailed documentation of biopsies, excisions, and lesion destructions.

With constantly changing insurance and reimbursement policies, dermatology billing is more challenging than ever. And dermatology itself has expanded far beyond medical and surgical treatments — it now includes a wide variety of cosmetic procedures and surgeries.

Without a specialized billing partner, dermatology practices risk under-compensation, audits, and payer fines. That’s why outsourcing to MBW RCM ensures compliance, accuracy, and improved collections.

MBW RCM’s Expertise in Dermatology Billing Services

Our team of medical billing and coding professionals understands the unique challenges of dermatology billing.

Serving clients across all 50 states, including hospitals, physician practices, and billing companies.
AAPC-certified coders, proficient in ICD-9/10, CPT, and HCPCS coding under CMS and AMA guidelines.
Skilled in the most widely used medical coding software platforms.
Proven track record of helping practices improve revenue by 20%+, reduce denials, and cut administrative costs.

Applying Best Practices in Dermatology Billing

Dermatology billing is closely tied to global surgical package rules, and our team ensures every element is captured:

Preoperative visits: day before major surgeries or the same day for minor surgeries.
Intraoperative services: everything performed during the surgery itself.
Postoperative care: follow-up visits during the global period.
Supplies and wound care: materials and dressings used.
Postoperative complications: care included within the global package.

Our expertise ensures correct application of CPT codes and global periods provided by CMS — reducing denials and maximizing reimbursement.

Full-Spectrum Dermatology Billing Coverage

Our expertise in dermatology medical billing service includes but is not limited to:

Medical Dermatology
Surgical Dermatology
Pediatric Dermatology
Cosmetic Dermatology (Botox, fillers, laser procedures, advanced cosmetic surgeries)
Dermato-immunology
Dermatopathology & Oral Pathology Laboratory
Photomedicine (Phototherapy & Photopheresis)

Why Choose MBW RCM?

We employ our extensive experience gained over decades of supporting Dermatology practices. MBW RCM can reduce your staffing and administrative expenses, increase revenue, and ensure compliance with all standards with additional benefits.

Certified Expertise – AAPC-certified coders trained in leading medical coding software.
Proven Results – decades of dermatology billing experience across practices of all sizes.
Revenue Growth – boost collections by 20%+ with clean claims and proactive denial management.
Cost Savings – reduce staffing and administrative overhead.
Compliance – avoid costly audits with CMS/AMA-aligned coding and documentation.
Trusted by Payers – successful claim processing with commercial insurers (UHC, Aetna, Humana, BCBS, Anthem, WellPoint) and government payers (Medicare, state Medicaid).

Frequently Asked Questions on Dermatology Billing Services

Dermatology medical billing refers to the process of coding and submitting insurance claims for dermatological procedures such as biopsies, excisions, and cosmetic treatments, using CPT, ICD-10, and HCPCS codes.

Frequently used CPT codes include:
- 11100–11101: Skin biopsies
- 11400–11446: Excision of benign lesions
- 17000–17004: Destruction of premalignant lesions
- 17311–17315: Mohs surgery

Modifier 24 is used to indicate an unrelated evaluation and management service by the same physician during a postoperative period. It helps dermatologists get paid for separate concerns addressed outside of a global procedure.

Challenges include frequent changes in payer policies, bundling of procedures, cosmetic vs. medical coverage issues, and the complexity of modifier use, especially with biopsies and lesion removals.

Improve denial management by ensuring pre-authorizations, using accurate documentation, applying correct modifiers, and following up on rejections promptly. Outsourced billing teams can streamline this process.

Yes, cosmetic procedures (e.g., Botox, cosmetic mole removal) are often not covered by insurance, while medically necessary treatments (e.g., skin cancer removals) are. Clear documentation justifying medical necessity is key.

MBW RCM offers dermatology-specific billing solutions including accurate coding, pre-authorization support, denial resolution, and compliance monitoring to ensure timely reimbursement and optimized revenue cycles.

Margins vary by location and procedure type, but on average, dermatology practices may see profit margins ranging from 20% to 40%, with cosmetic-focused practices typically earning higher margins.

Benefits of Our Dermatology Billing Services

Supporting a wide range of hospitals, physician practices, and medical billing companies across 50 states
Our coders are certified by the American Association of Professional Coders (AAPC), proficient in ICD-9/10, CPT, HCPCS coding.
Understanding all aspects of global surgical packages, including preoperative visits, intraoperative services, and postoperative care.
Proprietary workflow and reporting tools to enhance efficiency and accuracy.
Successfully processing claims with a variety of insurance companies including UHC, WellPoint, Aetna, Humana BCBS, Anthem, and government payers like Medicare.
Maintain compliance with healthcare regulations and minimize legal risks.