Maximize reimbursements for lesion removal, Mohs surgery, phototherapy, and biologic drug administration with billing specialists who understand the cosmetic vs. medical distinction, size-based coding rules, and payer-specific dermatology policies that drive denials in skin care practices.
Dermatology billing combines high visit volumes with complex procedural coding. Lesion removal codes depend on lesion type, removal technique, and size measured in centimeters. Mohs surgery has its own multi-stage coding protocol. Phototherapy is billed per session with specific unit rules. And biologics like Dupixent require prior authorization with careful drug billing. RCMAXIS dermatology billing specialists understand every one of these rules — and apply them correctly on every claim.
Skin lesion excision codes are selected based on lesion type (benign vs. malignant), body location, and lesion diameter including margins — measured in centimeters. We correctly size-code each excision, capture repair codes when applicable, and ensure pathology billing is separately coded to maximize total reimbursement per encounter.
Mohs micrographic surgery is billed per stage, per layer, with separate first and additional stage codes. We correctly code each Mohs stage, the anatomic site, and any reconstruction performed after tumor clearance — ensuring complete capture of all billable components across what can be a multi-stage procedure.
Narrowband UVB, PUVA, and excimer laser treatments are billed per session using specific phototherapy CPT codes. We track treatment frequency, apply the correct code based on modality and body area treated, and ensure documentation supports the medical necessity of each phototherapy regimen.
Biologics administered in-office for psoriasis, eczema, or alopecia require drug codes (J-codes), prior authorization, and REMS program compliance. RCMAXIS manages the complete biologic billing cycle — from prior auth to claim submission with correct J-code, dosage, and route of administration documentation.
Dermatology practices often perform procedures that straddle cosmetic and medical categories — acne treatment, lipoma removal, or laser therapy can be either, depending on diagnosis. RCMAXIS ensures each procedure is correctly classified, with appropriate diagnosis coding to support medical necessity and prevent cosmetic denials on covered services.
Dermatology denials — cosmetic classification disputes, lesion size documentation issues, and biologic prior auth failures — require appeals backed by clinical evidence. Our denial team investigates every denial, corrects the root cause, and submits targeted appeals to recover your revenue systematically.
Our certified dermatology coders apply correct size-based, site-specific, and technique-based code selection to every skin procedure claim.
High patient volumes and complex procedure coding make dermatology practices particularly vulnerable to underbilling, missed add-on codes, and cosmetic misclassification. RCMAXIS eliminates all three.
Our coders understand the CPT rules for lesion removal sizing, Mohs stage coding, and the medical vs. cosmetic distinction that determines coverage for dozens of common dermatology procedures. We code correctly on first submission — reducing denials and write-offs significantly.
Busy dermatology practices see 30–50 patients per day. RCMAXIS handles high-volume claim workflows without sacrificing coding accuracy — processing and submitting all claims within 24 hours of receiving documentation to keep your AR cycle short.
Monthly reports break down revenue by procedure type, denial rates by payer and reason code, and AR aging — giving your practice manager full financial visibility and the data needed to identify improvement opportunities.
Full HIPAA compliance across all data handling — encrypted transmission, signed BAAs, and role-based access controls protect your patients' protected health information at all times.