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Blogs

Dermatology

We stay up to date on the ever-changing insurance market's impacts on your specialty for you...because it's basically a full time job in and of itself.

October 2, 2026
by John Gwin

Cyst & Lipoma Excision: Depth Decides the Code Family — and the Pay

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 — […]

October 1, 2026
by John Gwin

Wound Repair Coding (12001–13160): The Summing Rule That Downcodes Closures

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 […]

September 28, 2026
by John Gwin

Benign Lesion Excision (11400–11446): The Path Report Is Measuring the Wrong Thing

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.

September 21, 2026
by John Gwin

Skin Tag Removal (11200): the ICD-10 Decides, Not the Snip

Skin tag removal (CPT 11200/11201) is cosmetic by default — 85% of denials are medical-necessity failures. The symptoms and the ICD-10 code are what flip it to covered.

September 21, 2026
by John Gwin

How Much Does Dermatology Billing Cost in 2026?

Dermatology billing costs 4-9% of collections in 2026. The hidden payroll across five seats, the contract terms that matter, and why the net beats the fee.

September 14, 2026
by John Gwin

New Dermatology Practice Billing: Outsource Before You Hire

Billing for a new dermatology practice: the 90-120 day credentialing clock, what outsourcing costs during the ramp, and the day-one setup order.

August 22, 2026
by John Gwin

The 10 Best Dermatology Billing Companies in 2026

Ten dermatology billing companies ranked for 2026, including the EHR-bundled options, with the factor matrix: derm depth, AI coding, and true fit.

August 19, 2026
by John Gwin

Your Denials Aren’t Random. Three Payer-Code Combos Are Eating Your AR.

Most practice denials cluster in 2-3 payer-code combos. Find them with two spreadsheets, fix them pre-bill, and stop reworking what you could prevent.

August 5, 2026
by John Gwin

How to Actually Pick an EMR (and Survive the Switch)

How to pick an EMR for your plastic surgery or dermatology practice: cosmetic split, module ranking, true cost, demo scripts, and surviving the switch.

August 4, 2026
by John Gwin

Seven Questions Your AI Coding Vendor Hopes You Won’t Ask

AI coding tools are flooding dermatology. The seven vendor questions that separate real tools from compliance exposure on your bottom line.

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