Dermatology Associates of the Bay Area
If you have any type of suspicious skin lesion you should seek evaluation by a dermatologist. If skin cancer is suspected, he or she may recommend and perform a biopsy.
Mohs surgery may be recommended based on the type and location of the skin cancer, as well as other factors. If your dermatologist does not perform this technique, he or she will be able to refer you to a Mohs surgeon in your area.
Because it involves a special multi-step process, Mohs surgery is typically slightly more expensive than other skin cancer treatments. It is important, however, to consider the advantages of the Mohs technique (healthy tissue sparing capabilities, lower recurrence rate, etc.) in examining the total cost. Your physician's billing specialists will be able to provide you with estimated insurance reimbursement rates and/or possible payment plan information.
All surgical procedures have the potential for some degree of visible scarring. The appearance of a post-Mohs surgical scar will depend on several factors, including size and location of the final defect, individual skin characteristics, and the reconstruction options available.
You should keep in mind, however, that the tissue-sparing nature of the Mohs technique may result in a smaller, less noticeable scar than other skin cancer removal methods.
The Mohs surgeon also may be able incorporate suture lines into the patient's natural skin lines and folds. Most scars improve in appearance naturally over time, and future scar revision techniques may employed if necessary.
We would recommend removal of the skin cancer by a dermatologist with specialized training in Mohs surgery, due to the histopathology component of the procedure. You may wish to discuss with the Mohs surgeon the option of having a plastic surgeon perform the closure following Mohs surgery, if this is your preference. Your Mohs surgeon's office would be able to help coordinate this type of shared treatment approach.
Mohs surgery is covered by most insurance plans, including Medicare. Please enlist the aid of your employee benefits administrator and/or physician’s billing specialist to determine estimated out-of-pocket expenses.