Overview

Why Dermatology Needs Special Medical Billing

Dermatology medical billing is one of the most complex sectors in the revenue cycle management because there are too many procedures performed, complex provisions of the coding policies, and documents required by the payers. In dermatology, there are differences in medical, surgical, and cosmetic procedures compared with the primary care billing, which have different reimbursement policies. Claim denials, underpayments and compliance can only be avoided through specialised expertise.

We know of the dermatology billing winds at NexCure LLC. Being AAPC-certified, our coders and billing experts are also experienced in CPT, ICD-10, and HCPCS dermatology coding to ensure all claims are accurate, compliant, and coded correctly in order to maximize reimbursements.

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    The Justification As to Why Dermatology Billing is Complex

    The dermatology businesses possess a unique billing procedure since it requires precision and industry apprehension:

    There are too many Regulations on Procedure Coding

    The majority of visits to dermatologists are made with multiple procedures per visit (e.g. skin biopsy and lesion removal). One should learn the right modifiers (-25, -59, -51) to prevent having the claims denied.

    Medical Surgery / Plastic Surgery

    Most cosmetic dermatology treatments (e.g. Botox treatment, chemical peels and laser procedures) are not covered by insurance. Such documentation will address the risk of compliance issues and will remind the patients about their financial responsibility.

    High Volume & Risk of Coding Mistakes

    This raises the probability of coding mistakes, under billing and poor note. The dermatology offices are very active clinics and conduct a significant number of processes a day, which can be billed. Curettage Dermis/epidermis lesion/depilitation CPT 11300–11313.

    Dermatology Billing Workflow – NexCure LLC

    Internal medicine field involves various categories of services in relation to patient care and treatment — each medical care has its documentation, codes and bills that are issued. We boast an expertise that every service you offer is claimed, coded and reimbursed in a proper manner.

    Insurance Verification

    Ensuring coverage before the patient visit to avoid financial conflicts.

    Accurate CPT/ICD-10 Coding

    Including complex excisions and Mohs procedures.

    Claims Processing & ERA Posting

    Clean claims for faster payment.

    Patient Billing

    Clear and understandable statements to avoid dissatisfaction or delays.

    6. Denial Management & Appeals

    Pursuing unpaid claims with supporting documentation.

    Payment Reconciliation

    Ensuring all payments are captured and ERAs matched.

    Critical issues

    Some Critical Issues Quoted in Dermatology with Regard to Medical Billing

    • -25 – Significant, separately identified E/M service on the same day as the procedure.
    • -59 – Distinct procedural service.
    • -51 – Multiple procedures.

    The utilization of wrong modifier is one of the most frequently occurring causes of denial of the claims in dermatology.

    Such detailed notes as lesion size, lesion location, and pathology report are required by the payers to be a part of medical necessity.

    An inclusion of a cosmetic procedure can also lead to audits and repayment demands if this procedure is not deemed medically necessary.

    Common causes of denials include:

    • Incomplete documentation
    • ICD-10 diagnosis linkage issues

    Most Commonly Used Dermatology Codes and Procedures (CPT Codes)

    Typically, insurance companies vary in regulation about the size and location, and medical necessity of the lesion excision, and the capability to describe it accurately in the applicable code is paramount to permit them to pay reimbursement of this care.

    Biopsy skin lesion

    CPT 11102, 11104

    Malignancy Biopsy

    CPT 11900, 11446

    Destruction of malignant lesion

    CPT 17260–17286

    Cryosurgery of actinic keratoses

    CPT 17000–17004

    Mohs Surgery

    CPT 17311–17315 (Micrographic surgery)

    Toenail surgery

    CPT 11730, 11750

    Acne & abscess drainage

    CPT 10040, 10060

    Skin graft

    CPT 15100–15261

    Dermatopathology billing

    CPT 88302–88309

    Laser-assisted lesion removal

    CPT 17106–17108

    Why Choose Us

    The Benefits of Using NexCure LLC for Dermatology Billing

    • Specific Dermatology Knowledge – Extensive experience in medical, surgical, and cosmetic dermatology billing.
    • Increased Reimbursements – Clean claims, proper coding, and reduced denials.
    • Faster Payments – Shortened payment cycles with error-free claims.
    • Compliance Assurance – AAPC, HIPAA, Medicare, and commercial payer compliance.
    • Transparent Reporting – Monthly reports with trends, denials, and growth opportunities.
    • Customized Solutions – For solo practitioners or large dermatology groups.

    Dermatology – Group of Services We Bill

    • General dermatology (medical skin care)
    • Cosmetic dermatology (Laser, Botox, fillers)
    • Pediatric dermatology
    • Dermatopathology services

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        It is not that billing in dermatology has to be an issue. Complemented with its targeted dermatology billing services, NexCure LLC will assist you in securing maximum reimbursements, faster processing of payment, and painless compliance. Are you interested in saving time in the revenue cycle of your dermatology practice? Call us today to sign up and get a free onboarding consultation and see how we can make your revenue cycle more efficient.

      Client Testimonials

      What Healthcare Providers Say About Us

      "Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."

      Dr. Ayesha Rahman, MBBS

      "Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."

      Dr. James Whitman, MD

      "The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."

      Dr. Maria Gonzalez, MD

      "I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."

      Dr. Omar Al-Farouq, MD

      "Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."

      Dr. Alejandro Ramirez, DO
      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

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      (929) 587-3833

      Email address:

      Info@nexcurellc.com

      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

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      (929) 587-3833

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