Mohs surgery

Bryan K. Chen, 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?


Bryan K. Chen, MD
4 months ago

By definition, with Mohs surgery, the same treating physician functions as both the surgeon and pathologist.  There should be a single charge for the entire removal of the skin cancer (including tumor excision and pathology).  There would probably be a separate charge for repair of the defect following Mohs surgery.

I hope this makes sense.

Good luck.

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