Dermatology

[|Dermatology Atlas] with treatment recommendations. Recommended by Dr. Paige

Eczema (Atopic Dermatitis)

Seborrheic keratosis, melasma, benign moles, and skin tags should not be referred to dermatology as the system cannot handle the numbers for benign conditions. Melasma is treated with hydroquinone with sunscreen, both not covered benefits. Seborrheic keratosis are of cosmetic concern except in the rare instance when a person **develops dozens on their trunk all at once** with association with malignancies.

If a provider has any suspicion regarding moles then it is absolutely appropriate to refer, but not a referrals for removal of benign moles.

If there is a suspicion of cancer in a mole it should have a punch biopsy before referral to prevent a delay in a cancer diagnosis.

Also referrals for a general skin examination should not occur without including prior history or family history indicating the patient is at particularly high risk for skin cancer.

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