Billing for a new plastic surgery practice: why cosmetic cash masks the credentialing gap, what outsourcing costs during the ramp, and the day-one setup order.

Start here The short version The whole change in a few lines. A superficial cyst is a skin excision (11400 series); a lipoma is a soft-tissue tumor coded from the musculoskeletal family (2xxxx) by region, depth, and size. Coding a lipoma as a skin excision is the most common and most expensive error here — […]

Start here The short version The whole change in a few lines. Repair is coded three ways by technique, not size: simple (single layer), intermediate (layered, or a heavily contaminated single-layer close), and complex (more than layered — scar revision, debridement, extensive undermining). Within one classification and one anatomic group, you add the lengths and […]

CPT 11400-11446 is coded by excised diameter, lesion plus margins, not the shrunken pathology size. Here’s the measurement rule and the closure trap that cost you.

Outsourcing plastic surgery billing costs 4-9% of insurance collections. The cash-revenue trap, the hidden payroll, and the three disciplines one hire cannot cover.