Dermatology Revenue Cycle Management Services
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ICD-10 Dermatology Superbill Example
| Appointment Date & Time: | Last Seen Date: | ||||
| Patient: | Gender: | DOB: | MR# | Pat Due: | INS Due: |
| Address: | Reason: | ||||
| Home Phone: | Cell Phone: | E-Mail: | |||
| Case Name: | Case No: | Case Type: | Case Date: | ||
| Pr Insurance: | Member ID: | Co-Pay Amount: | Deductible: | ||
| Rendering Provider: | PCP: | Referring Provider: | |||
| CPT CODES | |||||
| CPT CODES | Description | CPT CODES | Description | CPT CODES | Description |
| 11100 | Biopsy of the skin, subcutaneous tissue and/or mucous membrane (including simple closure); single lesion | 15278 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary pro- cedure) | Q4101-Q4111 | Skin substitute, per square centimeter |
| 11101 | Biopsy of the skin, subcutaneous tissue and/or mucous mem- brane, each separate/additional biopsy | 15780–15782 | Dermabrasion; total face; segmental, face; regional, other than face | Q4112-Q4113 | Allograft, injectable, per 1cc |
| 11200 | Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions | 15783 | Dermabrasion; superficial, any site (e.g., tattoo removal) | Q4121 | TheraSkin, per sq cm |
| 11201 | Removal of skin tags, each additional 10 lesions (CPT 11201 must be billed in conjunction with CPT code 11200) | 15786–15787 | Abrasion | 15274 | Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure) |
| 11920 – 11922 | Tattooing, intradermal introduction of insoluble opaque pig- ments to correct color defects, including micropigmentation | 15788–15793 | Chemical peel | 15275 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
| 12001–12018; | Repair—simple; | 17360 | Chemical exfoliation for acne | 15276 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addi- tion to code for primary procedure) |
| 12031–12057; | Repair—intermediate; | 96567–96571 | Photodynamic therapy by external application of light to destroy pre-malignant and/or malignant lesions of the skin and mucosa by activation of photosensitive drugs | 15277 | Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig- its, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
| 13100–13153 | Layer closure; | 96900 | Actinotherapy; ultraviolet light | 15272 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure) |
| Repair—complex | 96910, 96912, 96913 | Photochemotherapy | 15273 | Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children | |
| 15002 | Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tis- sues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children | 96920–96922 | Laser treatment for inflammatory skin diseases | A4649, A4550 | Miscellaneous supplies (including surgical supplies) and surgical trays |
| 15003 | Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tis- sues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure) | 99070 | Materials charge | 15271 | Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
| ICD CODES | |||||
| ICD-10 CODES | Description | ICD-10 CODES | Description | ICD-10 CODES | Description |
| L02 | Abscess, furuncle and carbuncle | C4A | Merkel cell carcinoma | L21.9 | Seborrheic dermatitis, unspecified, Seborrhea NOS |
| L70 | Acne(for all acne codes) Excludes2: acne keloid (L73.0) | D22 | Melanocytic nevi | I83.10 | Stasis dermatitis Varicose veins of unspecified lower extremity with inflammation |
| L70.0 | Acne vulgaris | D23 | Neoplasms of skin | I83.11 | Stasis dermatitis Varicose veins of right lower extremity with inflammation |
| L57.0 | Actinic keratosis, Keratosis NOS, Senile keratosis, Solar keratosis | L71.0 | Perioral Dermatitis | I83.12 | Stasis dermatitis Varicose veins of left lower extremity with inflammation |
| L63 | Alopecia areata, androgenic, scarring, non-scarring | L80-L81 | Pigmentation Disorders, lentigo vitiligo | L85.3 | Xerotic dermatitis, Asteatotic dermatitis, Dry skin dermatitis |
| C44 | Basal Cell Carcinoma | L72.11 | Pilar cyst any site | B35-B36 | Dermatophytosis, tinea, and tinea versicolor |
| L12.0 | Bullous pemphigoid | L30.5 | Pityriasis alba | L50.3 | Dermographia, dermographism |
| B37 | Candidiasis of Skin, Nail, Candidal onychia, Candidal paronychia, Lips, Vulva | L42 | Pityriasis rosea (a billable code) | Z12.83 | Encounter for screening for malignant neoplasm of skin |
| L20-L30 | Dermatitis | L29 | Pruritus | L72.0 | Epidermal cyst, sebaceous cyst (any location) |
| L20.81 | Atopic neurodermatitis, Diffuse neurodermatitis | L40 | Psoriasis | L92.0 | Granuloma annulare, Perforating granuloma annulare |
| L20.84 | Intrinsic (allergic) | L98.0 | Pyogenic granuloma | B00.1 | Herpes simplex face, face, lip, ear |
| L20.89 | Other atopic dermatitis | L71.8 | Rosacea | B00.89 | Other herpesviral infection, Herpesviral whitlow (finger), (trunk, limbs) |
| K13.0 | Cheilitis, Angular Cheilitis, Cheilitis NOS | L71.9 , | Rosacea,Unspecified | B00.9 | Herpesviral infection, unspecified, Herpes simplex infection NOS |
| L30.8 | Dermatitis, Other specified acute or chronic | L91.8 | Skin Tag Other hypertrophic disorders of the skin | A60 | Herpes simplex infections, Anogenital herpesviral |
| L30.9 | Dermatitis, unspecified, Eczema NOS acute or chronic | L91.9 | Skin Tag Hypertrophic disorder of the skin, unspecified | B02.9 | Zoster without complications, Zoster NOS (not for the eye) |
| L30.1 | Dyshidrosis [pompholyx] | L82.0 | Seborrheic keratosis Inflamed | B02.29 | Other postherpetic nervous system involvement, radiculopathy, neuralgia |
| L98.1 | Factitial dermatitis, Neurotic excoriation | L82.1 | Seborrheic keratosis Other, Seborrheic keratosis | L01.0 | Impetigo, Impetigo contagiosa, Impetigo vulgaris |
| L30.4 | Intertrigo | D04 | Sq. Cell Ca. in situ (Bowen’s Disease) penis, vulva | L60.0 | Ingrowing nail (Any location) |
| L28.0 | Lichen simplex chronicus, Circumscribed neurodermatitis | C44 | Squamous Cell Carcinoma | L91.0 | Keloid, Hypertrophic scar, Keloid, Keloid scar |
| L28.1 | Prurigo nodularis | B36.0 | Tinea versicolor | L43 | Lichen planus |
| L21.0 | Seborrhea capitis, Cradle cap | B07.8 | Wart Viral Other, common wart, Flat wart, verruca plana | L43.3 | Subacute (active) Lichen planus |
| L21.1 | Seborrheic infantile dermatitis | B07.0 | Wart Plantar | D03 | Melanoma in situ |
| L21.8 | Seborrheic dermatitis, Other | L85.3 | Xerosis cutis, Dry skin dermatitis | C43 | Malignant melanoma of skin |
| Charges: | CASH | Doctor’s Signature | |||
| Payments: | CHECK: | ||||
| MC | AMX | ||||
| Balance: | VISA | DEBT | |||
| Credit Card# | |||||