FAQ: What are dermatology procedure codes and how do they impact insurance reimbursement?

 Dermatology procedure codes are specific CPT (Current Procedural Terminology) codes used to describe medical, surgical, and cosmetic services provided by dermatologists. These codes are essential for documenting what procedures were performed and are the foundation for insurance billing and reimbursement.

Examples of commonly used dermatology procedure codes include:

  • 11102 – Tangential skin biopsy

  • 11402 – Excision of benign skin lesion (1.1 to 2.0 cm)

  • 17000 – Destruction of premalignant lesions (first lesion)

  • 17311 – Mohs micrographic technique, first stage

The accurate use of these codes ensures:

  • Timely and full reimbursement from payers

  • Fewer denials due to incorrect or incomplete claims

  • Proper documentation of patient care and services rendered

It’s also important to note that dermatology often involves procedures considered cosmetic, such as Botox or laser treatments, which are usually not covered by insurance. Misusing dermatology procedure codes in such cases can lead to audits or legal consequences.

To maximize revenue and ensure compliance, practices should work with experienced billers who stay up to date with changes in dermatology procedure codes and payer-specific guidelines.

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