Dermatology EHR and AI Medical Billing Software

Dermatology is fast and procedure-heavy: biopsies, destructions, excisions and Mohs, plus cosmetic work. XEHR keeps every lesion, result and claim straight.

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Includes Micrographic Dermatologic Surgery

Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Changing mole on the upper back.

D48.5 Skin neoplasm, uncertain behavior

ReviewSign note

Diagnosis carried to the claimD48.5

THE HARD PARTS

What makes dermatology billing hard

Many lesions, one visit

Each lesion needs its own location, size and procedure documented, or the claim cannot show what was done.

Biopsy results that must come back

Every specimen needs a result, a patient call and a plan.

Medical and cosmetic in one practice

Insurance and self-pay services must stay clearly separated.

WHERE THE WORK HAPPENS

How dermatology care is delivered and billed

Dermatology is a high-volume office specialty where many visits include a procedure: biopsies, destruction of lesions, excisions and injections. Medical dermatology is billed to insurance on the professional claim, while cosmetic treatments are paid by the patient. Pathology for biopsies is billed by the dermatopathologist or the lab, and skin cancer surgery adds Mohs and repair work.

What payers check on dermatology claims

Biopsies are billed per lesion and by technique, so each lesion and method must be documented.
Destruction of premalignant lesions is billed by the number of lesions treated.
Excisions are billed by the size of the lesion plus margins, which must be measured and recorded.
A visit on the same day as a minor procedure is billed only when a separate problem is documented.
Cosmetic treatments are not billed to insurance and must be agreed with the patient in advance.

Common dermatology diagnoses ICD-10-CM

L57.0	Actinic keratosis
C44.311	Basal cell carcinoma of skin of nose
L40.0	Psoriasis vulgaris
L70.0	Acne vulgaris
L82.1	Other seborrheic keratosis
D22.5	Melanocytic nevi of trunk

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A dermatology visit, start to payment

1
Examine and map

Each lesion is documented with its site and size, so the procedure and diagnosis match later.
2
Treat in the room

Biopsies, destructions and excisions are recorded per lesion with the method used.
3
Send to pathology

Specimens are labelled to the lesion and results return to the same chart.
4
Bill per lesion

The visit and each procedure go out on one checked claim, with cosmetic services kept separate.

How XEHR helps

From the dermatology visit to the payment

Lesion-by-lesion documentationSite, size and procedure are captured per lesion in the note.
Results tracked to closurePathology results come into the chart for review and follow-up.
Insurance and self-pay togetherCosmetic services and insurance claims are handled in one system.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for dermatology

AI medical billing for dermatology practices

XEHR is an agentic EHR: AI agents do the administrative work around every dermatology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Biopsies are billed per lesion and by technique, so each lesion and method must be documented.
Destruction of premalignant lesions is billed by the number of lesions treated.
Excisions are billed by the size of the lesion plus margins, which must be measured and recorded.
A visit on the same day as a minor procedure is billed only when a separate problem is documented.

Around the visit

Agents run on their own

Coverage checked before each dermatology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a dermatology EHR

Ask every vendor, including us. The answers show whether a system was built for dermatology work or only adapted to it.

Ask us on a demo

Is each lesion documented with site, size and method?
Are destructions billed by the number of lesions treated?
Are excisions billed by size including margins?
Are cosmetic services kept separate from insurance claims?
Do biopsy results return to the lesion in the chart?

QUESTIONS

Dermatology practices ask us

Does XEHR support dermatology photos?

Yes. Clinical images are stored with the visit and are never publicly reachable.

Can XEHR handle Mohs surgery billing?

Yes. Stages and blocks documented in the note carry onto the claim.

Does XEHR bill dermatology procedures per lesion?

Yes. Each lesion, method and size is recorded and carried to the claim.

Can XEHR track biopsy results?

Yes. Specimens are labelled to the lesion and results return to the patient chart.

Does XEHR store clinical photos for dermatology?

Yes. Photos are kept with the patient record and access is recorded.

Can XEHR track skin cancer follow-up?

Yes. Recall dates are recorded from the diagnosis.

How much does XEHR cost for a dermatology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a dermatology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

SUBSPECIALTIES

Dermatology subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for dermatology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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