- Boca Raton, FL
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Is anyone aware of any carrier that will pay for a full skin exam with no diagnosis except Z12.83 (screening for skin cancer)?
Thank you all for your answers!
Thomas, while your thoughts about skin check being part of the PCP's annual exam probably parallel that of CMS and the other payers, I do not agree with it from a clinical perspective. First, I don't believe that most PCPs perform a full skin exam during the annual examination. Second, even if they were to do so, they don't have the experience or expertise to do this effectively; they might end up doing unnecessary biopsies of lesions that an experienced dermatologist can tell at a glance are benign, and possibly fail to recognize signs of suspicion in other lesions. Skin exam is not something that can be done "by the book"; it takes an experienced and discerning eye that only a specialist should be expected to possess.
Sorry for the rant; after almost a decade of working with dermatologists, I guess I've gotten opinionated!