Patient counseled on self-examination for new or changing moles (ML)
CPT4 code
Name of the Procedure:
Self-Examination for New or Changing Moles (Melanoma and Skin Cancer Screening)
Summary
A self-examination for new or changing moles involves routinely checking your skin for any new moles or changes to existing moles, which could indicate the early stages of skin cancer.
Purpose
The medical condition it addresses is melanoma and other types of skin cancer. The goal is to detect early signs of skin cancer when it is most treatable and to promote early intervention.
Indications
This procedure is indicated for individuals with a higher risk of skin cancer, such as those with fair skin, a history of sunburns, numerous moles, or a family history of skin cancer. It is also appropriate for anyone wishing to monitor their skin health.
Preparation
No special preparation is needed. It is recommended to perform the self-examination in good lighting, using a full-length mirror and a hand-held mirror for hard-to-see areas.
Procedure Description
- Start with a Full-Body Check: Use a full-length mirror to examine your entire body, from head to toe, including your back, the back of your legs, the soles of your feet, and the spaces between your toes and fingers.
- Use the ABCDE Rule:
- A for Asymmetry: One half of the mole does not match the other half.
- B for Border: The edges are irregular, ragged, or blurred.
- C for Color: The color is not the same all over and may include shades of brown or black, sometimes with patches of pink, red, white, or blue.
- D for Diameter: The mole is larger than 6 mm (about the size of a pencil eraser).
- E for Evolving: The mole is changing in size, shape, color, or symptom (itching, tenderness).
- Document Changes: Keep a record of your findings with photographs and notes to track any changes over time.
- Consult a Dermatologist: If you notice any suspicious changes, consult a healthcare professional for further evaluation.
Duration
The self-examination typically takes about 10 to 15 minutes.
Setting
This procedure is performed in the comfort of your home.
Personnel
No healthcare professionals are required for the self-examination, but a dermatologist may be consulted if abnormal findings are detected.
Risks and Complications
There are no risks associated with performing a self-examination. However, failure to recognize or report suspicious changes may delay diagnosis and treatment.
Benefits
Early detection of skin cancer greatly increases the chances of successful treatment. Regular self-examinations help individuals become familiar with their skin and recognize early warning signs.
Recovery
No recovery time is needed for this non-invasive procedure. If a biopsy or further treatment is required based on findings, follow the specific post-procedure instructions provided by healthcare professionals.
Alternatives
The principal alternative is regular dermatological skin checks performed by a healthcare professional. The pros include professional scrutiny and advanced diagnostic tools, while the cons are the need for scheduling and potential costs.
Patient Experience
Patients may feel reassurance and proactive about their health by performing regular self-examinations. While the procedure is painless, managing anxiety about potential findings is vital, and professionals can help with concerns.