0015F Melanoma follow up completed (includes assessment of all of the following components) (ML): History obtained regarding new or changing moles (1050F) Complete physical skin exam performed (2029F) Patient counseled to perform a monthly self skin examination

Name of the Procedure:

Melanoma Follow-Up Evaluation
Common names: Skin cancer check-up, melanoma monitoring
Technical/medical terms: Melanoma follow-up assessment

Summary

A melanoma follow-up evaluation is a medical check-up focusing on monitoring for changes or new developments that might indicate a recurrence of melanoma. The procedure includes a detailed patient history, a comprehensive skin examination, and guidelines for self-monitoring.

Purpose

This procedure addresses the risk of melanoma recurrence in patients who have previously been diagnosed with melanoma. The goal is to detect any early signs of new or changing skin lesions that could indicate a recurrence of skin cancer, thereby enabling timely medical intervention.

Indications

• History of melanoma or other types of skin cancer
• Presence of new or changing moles
• High-risk factors such as fair skin, history of sunburns, or genetic predisposition
• Routine follow-up as part of ongoing skin cancer surveillance after initial treatment

Preparation

There are typically no specific preparations required for this follow-up procedure. Patients should note any new or changing moles, rashes, or skin lesions prior to the exam and be prepared to discuss them.

Procedure Description

1. History Obtained Regarding New or Changing Moles (1050F):
   The healthcare provider asks the patient about any new or changing moles, itching, bleeding, or other symptoms.

2. Complete Physical Skin Exam Performed (2029F):
   The provider performs a thorough skin examination, inspecting the entire skin surface for any suspicious lesions or changes. Dermoscopy might be used for a closer look at specific moles.

3. Patient Counseling on Self-Examination:
   The patient receives advice on how to perform monthly self-examinations of their skin, what to look for, and when to seek medical advice if changes are observed.

Duration

The entire follow-up evaluation typically takes about 30-45 minutes.

Setting

This procedure is usually performed in an outpatient clinic or a dermatologist’s office.

Personnel

• Dermatologist or trained healthcare provider
• Medical assistant (in some cases)

Risks and Complications

The risks associated with this procedure are minimal. Risk of a missed diagnosis can occur if new or changing lesions are not detected.

Benefits

• Early detection of melanoma recurrence or new skin cancer.
• Provides peace of mind and clear guidelines for self-monitoring.
• Potentially life-saving by catching changes early before they become more severe.

Recovery

There is no physical recovery time needed following the procedure. Patients should continue monthly self-examinations and adhere to any follow-up appointments as advised.

Alternatives

• Self-monitoring only: Patients may choose to forgo the formal follow-up and rely on self-monitoring, though this is not recommended without professional oversight.
• Routine primary care visits: Regular check-ups with a primary care physician rather than a dermatologist.

Patient Experience

During the procedure, patients can expect a thorough and possibly lengthy examination that includes full body inspection, but it is generally non-invasive and painless. Educational counseling on self-exams is provided to empower patients in their ongoing care.