From Novice to Guru: Essential Tips and Tricks for Mastering Dermatology Coding

In response to member feedback highlighting a need for more dermatology coding lectures, this session was curated by the Scientific Assembly Committee. Curtis Asbury, an experienced coder, shares insights on advancing from novice to expert in dermatology coding. Asbury recounts his journey founding a private practice and handling billing in-house, emphasizing ongoing learning and practical experience. He presents techniques to improve coding knowledge, using visual aids and humor to illustrate concepts. Key topics include the nuances of photodynamic therapy coding and the importance of physician involvement to maximize reimbursement. The importance of understanding medical decision making (MDM) is also stressed, demonstrating that factors like social issues can influence treatment modalities. Asbury guides attendees on site-specific biopsy coding, prioritizing accuracy in code selection based on the anatomical site. He further discusses virtual direct supervision permitted during the COVID-19 pandemic, now a permanent feature for certain codes, and the complexities of linear repairs requiring extensive undermining for coding as complex. He highlights soft tissue excision codes for lipomas, typically not accounted for in standard lesion removals, and emphasizes the importance of billing for suture removals appropriately, particularly for procedures with zero-day global periods. Asbury’s engaging presentation seeks to transform attendees from novices into coding gurus through practical tips and a focus on continuous learning.