Mohs Surgery EHR and AI Medical Billing Software

Mohs surgeons remove skin cancer layer by layer and repair the wound the same day. XEHR records every stage, block and repair and bills them correctly.

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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

Biopsy-proven basal cell carcinoma on the nose.

C44.311 Basal cell carcinoma of skin of nose

ReviewSign note

Diagnosis carried to the claimC44.311

THE HARD PARTS

What makes mohs surgery billing hard

Stages and blocks decide payment

Mohs surgery is billed by the anatomic site, each stage and the number of tissue blocks examined. Losing count of blocks loses revenue.

Appropriate use is checked

Payers check that the tumor type, size and location meet published appropriate use criteria for Mohs.

Same-day repairs

The repair after tumor removal is billed separately by size and type, which must be measured and recorded.

WHERE THE WORK HAPPENS

How mohs surgery care is delivered and billed

Mohs surgeons work in dermatology practices with in-office surgical suites, acting as both surgeon and pathologist. Surgery, pathology reading and repairs are billed on the professional claim in the office.

What payers check on mohs surgery claims

Mohs surgery is billed by site, stage and number of blocks.
The tumor and site should meet published appropriate use criteria.
Repairs are billed separately by size and complexity.
The Mohs surgeon must act as both surgeon and pathologist.
Skin cancer codes carry site and side.

Common mohs surgery diagnoses ICD-10-CM

C44.311	Basal cell carcinoma of skin of nose
C44.42	Squamous cell carcinoma of skin of scalp and neck
C44.1121	Basal cell carcinoma of skin of right upper eyelid, including canthus
C43.31	Malignant melanoma of nose
D04.39	Carcinoma in situ of skin of other parts of face
C44.212	Basal cell carcinoma of skin of right ear and external auricular canal

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 mohs surgery visit, start to payment

1
Confirm indication

Biopsy result, site and size are reviewed.
2
Remove in stages

Each stage and block is mapped and read.
3
Repair

The repair is documented by size and type.
4
Bill

Stages, blocks and repair go out on one checked claim.

How XEHR helps

From the mohs surgery visit to the payment

Stage mapEach stage and block is recorded as it happens.
Indication recordedTumor type, site and size support appropriate use.
Repairs measuredRepair size and type are documented for billing.
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 mohs surgery

AI medical billing for mohs surgery practices

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

Before the claim leaves

The claim-check agent looks for

Mohs surgery is billed by site, stage and number of blocks.
The tumor and site should meet published appropriate use criteria.
Repairs are billed separately by size and complexity.
The Mohs surgeon must act as both surgeon and pathologist.

Around the visit

Agents run on their own

Coverage checked before each mohs surgery 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 mohs surgery EHR

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

Ask us on a demo

Is each stage and block recorded as it happens?
Are tumor type, site and size recorded for appropriate use?
Are repairs billed by size and complexity?
Is the original biopsy kept with the case?
Are skin cancer codes captured with site and side?

QUESTIONS

Mohs Surgery practices ask us

Does XEHR support Mohs surgery billing?

Yes. Stages, blocks and repairs are recorded and billed.

Can XEHR document appropriate use?

Yes. Tumor type, site and size are recorded with the case.

Are repairs billed separately?

Yes. Repairs are documented by size and type and billed on the same claim.

Does XEHR keep the pathology?

Yes. The Mohs surgeon’s reading and the original biopsy are in the record.

Does XEHR support Mohs surgeons with several rooms?

Yes. Cases run in parallel are documented separately.

Can photos of the defect be stored?

Yes. Photos are kept with the record.

Can referrals to plastic surgery be sent?

Yes. Referrals go from the same record.

How much does XEHR cost for a mohs surgery 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 mohs surgery 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.

Related specialties

See all specialties

See XEHR set up for mohs surgery

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

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