A dermatology day can hold a skin check, three biopsies, a destruction, and a cosmetic consult, each with different payment rules. Units, global periods, and patient responsibility are where most rework starts. Review how your practice bills each one before deciding what to hand off.
Book a demoDermatology billing turns on technique, lesion count, and whether a service is medical at all.
Skin biopsies are coded by technique, tangential, punch, or incisional, with add-on codes for each additional lesion. When one visit mixes techniques, the note needs the technique and site for every lesion so the primary and add-on codes line up.
Many excisions, repairs, and destructions carry 10-day or 90-day global periods under Medicare. Related follow-up inside that window is bundled, while a new, unrelated problem can be billed with the right modifier.
Removing a benign lesion for appearance is generally patient-paid, while the same procedure for a symptomatic or suspicious lesion may be covered. The documented reason for removal decides which, and patients should know before the procedure.
Dermatology practices often run medical and cosmetic revenue through different workflows.
Clinicians document lesion size, site, technique, and reason for removal, then approve the codes Taiga drafts. Cosmetic pricing, packages, and point-of-sale payments stay with your front desk.
Insurance claims for medical dermatology: eligibility checks, scrubbing against payer edits, submission, and every denial and appeal. Patient statements for insured balances go with it.
Pathology is the boundary to settle. If your practice reads its own slides or bills dermatopathology, decide whether those claims move with the rest or stay with the lab's billing.
Bring de-identified encounter examples and your most common denial reasons. Keep patient details out of the booking form.
Estimate the share of visits with biopsies, destructions, excisions, or Mohs. Mohs and dermatopathology have their own rules, so flag them separately.
Name the lab, who bills the technical and professional work, and how results come back into your chart.
List cosmetic procedures and products, how you collect for them, and whether they run through the same practice management system as insurance claims.
Useful to a dermatology owner whose biopsy and excision claims keep coming back for units, modifiers, or global-period edits, and who wants one team drafting codes and working every denial inside the current EHR.
Purely cosmetic, patient-paid services do not produce insurance claims, so treat them as a separate workflow. This page also does not decide coverage or codes for any lesion; your documentation and each payer's policy do.
Skin biopsy coding uses one primary code per encounter plus add-on codes for each additional lesion, chosen by technique. The combinations are specific, so record the technique and site for every lesion and let the physician approve the final codes.
Only when the visit is significant and separately identifiable from the decision to do the minor procedure, using modifier 25. A visit done only to confirm the need for the biopsy is part of the procedure.
Not usually when it falls inside the procedure's global period and relates to the surgery. A new, unrelated problem seen during that window can be billed separately with the right modifier.
Yes. Taiga can run in parallel or take over open A/R, and it works alongside your existing EHR.
Share your top procedures, payer mix, and a recent denial list. Taiga will walk through what it could take on and how onboarding to first claim would run.
System guides show possible billing handoffs, not proven specialty compatibility.