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Everest AR
Specialties / Dermatology

Dermatology Billing Services

Mohs undercoding, biopsy bundling errors, and cosmetic vs medical separation failures cost dermatology practices tens of thousands a year. We fix all of it.

25+

Years in medical billing

30+

Specialties served

All 50

States supported

Dedicated

Specialty team

The Dermatology Billing Challenge

Every specialty has coding landmines. Here are the ones costing dermatology practices the most.

Mohs Surgery Coding

$60-150K/yr

17311-17315

Mohs micrographic surgery involves stages, blocks, and complex repairs that are routinely undercoded. Missing repair codes, miscounting blocks, or failing to document stages correctly leaves the largest revenue on the table in derm.

Biopsy Bundling

$20-40K/yr

11102-11107 / Modifier -59

Multiple biopsies on the same date require precise modifier use and distinct diagnoses. Incorrect bundling or missing modifier-59 applications cause denials on what should be separately billable procedures.

Cosmetic vs Medical Separation

Compliance risk

Compliance risk

Billing cosmetic procedures to insurance is a compliance violation. Failing to separate cosmetic from medical services in documentation and billing creates audit exposure and potential fraud allegations.

Lesion Destruction

$10-25K/yr

17000 / 17003 / 17004

Destruction codes follow a first-lesion, additional-lesion structure that many practices miscalculate. The threshold between 17003 (each additional up to 14) and 17004 (15 or more) is frequently miscoded.

Phototherapy Underbilling

Underbilled 15-20%

96910 / 96912

Phototherapy sessions for psoriasis, eczema, and vitiligo are underbilled in 15-20% of practices due to incorrect unit counting, missing modifiers, or failure to bill the technical component.

Excision & Repair Complexity

High-dollar

11400-11446 / 12031-13160

Excisions with intermediate or complex repair require separate coding with proper size documentation. Many practices bundle the repair into the excision fee, writing off significant revenue on every case.

What We Handle

Complete dermatology billing coverage — every code, every payer, every claim.

Surgical

  • Mohs micrographic surgery
  • Excisions (benign & malignant)
  • Flaps & grafts
  • Lesion destruction
  • Nail procedures
  • Wound repairs (simple, intermediate, complex)

Diagnostic

  • Skin biopsies (shave, punch, excisional)
  • Dermatopathology coordination
  • Dermoscopy
  • Patch testing
  • KOH prep & cultures
  • Wood lamp examination

Therapeutic

  • Phototherapy (UVB/PUVA)
  • Excimer laser
  • Cryotherapy
  • Intralesional injections
  • Biologic administration
  • Cosmetic/medical separation

Administrative

  • Prior authorization
  • Biologic authorization
  • Pathology coordination
  • Payer contract negotiation
  • Appeals & reconsiderations
  • Patient billing & statements

How It Works

1

Week 1

Free Analysis

We audit your dermatology billing, identify the biggest revenue leaks, and show you the numbers.

2

Week 1-2

Your Team Gets to Work

Coders and billers trained in dermatology connect to your system and start processing claims.

3

Day 30-90

Results Compound

Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.

I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!

Chris Applewhite

Frequently Asked Questions

Do you have experience with Mohs surgery coding?
Yes. Mohs is one of the most complex procedures in dermatology billing. Our coders are trained on stage counting, block documentation, and repair code selection. We audit every Mohs claim to ensure full capture of stages, blocks, and associated repairs.
How do you handle cosmetic vs medical separation?
We maintain strict separation between cosmetic and medical services in both documentation and billing. Medical necessity documentation is verified for every claim, and cosmetic procedures are never submitted to insurance. This protects your practice from compliance risk.
Can you manage biologic prior authorizations?
Yes. We handle the entire biologic authorization process including initial requests, step therapy documentation, appeal letters when denied, and ongoing re-authorization tracking to prevent coverage gaps.
How do you bill multiple biopsies on the same date?
We apply modifier-59 and distinct diagnoses for separately billable biopsies, use the correct primary/add-on code structure (11102 + 11103, etc.), and ensure documentation supports medical necessity for each biopsy site.
Do you integrate with our EHR?
We integrate with all major EHR and practice management systems, including Epic, Modernizing Medicine (EMA), athenahealth, eClinicalWorks, and NextGen. Our team connects to your existing workflow without disruption.
How quickly can we get started?
Most dermatology practices are fully onboarded within one to two weeks. We begin with a free billing analysis to identify your biggest revenue leaks, then our team connects and starts processing claims immediately.

Find out how much revenue your dermatology practice is missing.

Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.