Mohs surgery

Kavita Mariwalla, MD answers: Should the surgeon also be the pathologist for MOHS surgery?

I was just diagnozed with BCC and MOHS Surgery has been recommended. I am a self pay patient and the Dematologist stated that there will be a separate fee for the pathologist who has to be onsite. Is this normal or should I insist on a Surgeon who also acts as the pathologist? What kind of fees are usually associated with this procedure?


Kavita Mariwalla, MD
1 month ago

Dear Marcia72q,

In order to be a Mohs surgeon, by definition, the surgeon must act as both the physician and the pathologist. There is one fee that covers both services. A Mohs surgeon does not have a separate fee for the pathologist. If this is the case, you are not going to a Mohs surgeon. You can find one who is fellowship-trained (a must) and approved by the Mohs College at the Mohs College website.  You can search by the area in which you live.  In order to be a approved by the Mohs College, you must have trained in this technique which includes a separate pathology piece.  BCC treatment is the bread and butter of a Mohs surgeon -- just make sure you go to a Mohs College trained surgeon and not someone simply posing as one.

Good luck,

Dr. Mariwalla

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