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    Vitality Dermatology

    3.0 (2 reviews)
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    Cahaba Dermatology & Skin Health Center

    Cahaba Dermatology & Skin Health Center

    4.0(8 reviews)
    55.0 mi
    $$

    My first visit was quick, but at my second I waited nearly an hour past my appointment time. I…read morereceived a standard skin check and had one wart frozen. No biopsy, no prescriptions, nothing else treated. Despite this, I was billed separately for a wart removal procedure and an office visit, totaling about one hundred seventy-four dollars. According to AMA CPT coding guidelines, the evaluation for a minor procedure already includes the basic exam and discussion. A separate office visit can only be billed if there is a "significant, separately identifiable" service documented beyond the procedure (AMA Modifier-25 guidance). CMS policy also states that the initial evaluation for minor surgical procedures is always included in the global package unless there is clear extra work (CMS NCCI Manual, Ch. 12). The AAPC further warns that billing both codes together without documentation is improper and considered "double billing." When I asked the billing office, they said they charge for an office visit every time and never code annual skin checks as preventive. That means patients are automatically billed for both, even when guidelines don't support it. Patients should be aware that this practice leads to higher out-of-pocket costs, especially on high-deductible plans.

    Dr. Groysman and all her staff are always so attentive. Dr. Groysman pays attention to detail, and…read moreI never feel like she rushes through my appointment to get to her next patient.

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    Cahaba Dermatology & Skin Health Center
    Cahaba Dermatology & Skin Health Center
    Cahaba Dermatology & Skin Health Center

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    Vitality Dermatology - dermatology - Updated June 2026

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