Compliance

Cosmetic vs medical

The determination of whether a dermatologic service is medically necessary and billable to insurance or elective and patient-paid.

What it means in dermatology

The same CPT code can be either, depending on the documented indication. Removal of a lesion that bleeds, is irritated by clothing or is suspicious is medical; removal for appearance is not.

The determination has to be made and documented before the service, with a signed acknowledgment when the patient is accepting financial responsibility.

Why it matters to your revenue

Billing a cosmetic service as medical is a compliance exposure, not merely a denial risk.

See this term in your own numbers

A free claims audit reviews a de-identified sample of your dermatology claims and returns a line-item findings report — including where terms like this one are costing you money.

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