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Running a dermatology practice today requires more than excellent patient care. With rising drug costs, shifting payer rules, constant coding updates, and increased carrier denials, the financial health of your practice depends on whether your team is capturing every legitimate
CMS released new I&D coding guidance under Article A56766. Changes take effect October 1, 2025. Published: October 15, 2025Source: CMS Article A56766Category: Billing & Coding Updates Dermatology Billing News Alert The Centers for Medicare & Medicaid Services (CMS) has issued
Navigating the world of dermatology billing can sometimes feel like walking a tightrope, especially when it comes to minor surgical services. These procedures, though routine, are critical for patient care—whether it’s removing a suspicious mole or treating an uncomfortable cyst.
What is Incident to Billing? Incident-to billing allows non-physician providers (NPP), such as Nurse Practitioners and Physician Assistants, to render follow-up services to patients under the direct supervision of a physician. The direct supervision means that the physician provider must be physically
Many dermatologists in private practice have a Mohs surgeon(s) as part of their group. Practices that have a large Medicare population and/or support other dermatology practices in the area that do not have a Mohs component, can significantly increase their
Dermatologists are acutely aware of the significant provider shortages in the market. The challenges of sourcing high-quality staff for billing and recruiting Physician’s Assistants, Nurse Practitioners, as well as M.D.s and D.O.s, are extremely difficult. Dermatologist Staffing Challenges The shortages
Mohs Micrographic Surgery (MMS) is a precise and effective technique for treating specific skin tumors and cancers. It aims to achieve high cure rates while minimizing tissue damage in critical areas. Reimbursement issues can arise when billing for MMS procedures.
Overview of the JW and JZ Modifier A growing number of prescription drugs, including some of the most expensive ones, are dispensed in variable doses that are administered based on a patient’s weight or body surface area (BSA) rather than
ICD-10 GUIDELINES CODES SUPPORTING MEDICAL NECESSITY FOR PATCH TESTING L23.0 Allergic contact dermatitis due to metals L23.1 Allergic contact dermatitis due to adhesives L23.2 Allergic contact dermatitis due to cosmetics L23.3 Allergic contact dermatitis due to drugs in contact with
Inga C. Ellzey, RHIA, MPA, CDC CPT Codes 99406-99407 (smoking cessation counseling) are not just for Primary Care Providers. Specialist providers can bill them as well. Follow the specific guidelines based on current procedural terminology and proper documentation requirements to
