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?

4 answers to “Should the surgeon also be the...”

A: Mohs surgery surgeon IS the pathologist

Jessica Krant, MD

As most of the above answers state, Mohs micrographic surgery for skin cancer means by DEFINITION, the Mohs surgeon is also the pathologist reading slides for THAT particular skin cancer surgery case. The reason for this is that the surgeon knows best the orientation and location of the tissue, and the quality... more

A: Mohs surgery

Kavita Mariwalla, MD

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... more

A: Mohs surgery

Bryan K. Chen, MD

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... more

A: Moh's vs. frozen section

Brent Moelleken, MD

With modern frozen section techniques examining the edges of the specimen, the two techniques are very similar.  They are both performed by fine physicians. However, I prefer to have a board certified pathologist review all pathologic specimens rather than a dermatopathologist, a dermatoligist who has... more

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