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Current controversies in mohs micrographic surgery.
1Department of Dermatology, The University of Texas Medical Branch at Galveston, USA.
Cutis
|November 28, 2019
Summary
Controversies in Mohs micrographic surgery (MMS) involve tumor types, increased use, insurance reimbursement, Appropriate Use Criteria (AUC), and certification. Addressing these issues is key for the future of MMS practice.
Area of Science:
- Dermatology
- Surgical Oncology
Background:
- Mohs micrographic surgery (MMS) is a specialized technique for skin cancer removal.
- Several areas of practice are currently debated within the MMS community.
Purpose of the Study:
- To outline the primary controversies surrounding Mohs micrographic surgery.
- To provide context for ongoing discussions in the field.
Main Methods:
- Review of current literature and expert discussions on Mohs micrographic surgery.
- Identification of key areas of contention in clinical practice and policy.
Main Results:
- Tumor types amenable to MMS are a subject of ongoing debate.
- Increasing utilization rates and reimbursement policies present challenges.
- The role and application of Appropriate Use Criteria (AUC) are discussed.
- Subspecialty certification standards are under review.
Conclusions:
- Resolution of these controversies is essential for the advancement and standardization of Mohs micrographic surgery.
- Future directions for MMS practice will be shaped by addressing these key issues.
