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#surgeryday #mohssurgery #Mohs #micrographic #dermatology #dermatologist #medicalcodingservices #medicalcoding #medicalcodingcompanies #drram #drramasubbu Mohs surgery, developed in 1938 by a general surgeon, Frederic E. Mohs, is microscopically controlled surgery used to treat both common and rare types of skin cancer. During the surgery, after each removal of tissue and while the patient waits, the tissue is examined for cancer cells. That examination dictates the decision for additional tissue removal. Mohs surgery is the gold standard method for obtaining complete margin control during removal of a skin cancer (complete circumferential peripheral and deep margin assessment - CCPDMA) using frozen section histology.[1] CCPDMA or Mohs surgery allows for the removal of a skin cancer with very narrow surgical margin and a high cure rate. Mohs procedure is also used for squamous cell carcinoma, but with a lower cure rate. Recurrent basal-cell cancer has a lower cure rate with Mohs surgery, more in the range of 94%.[2]: 7 It has been used in the removal of melanoma-in-situ (cure rate 77% to 98% depending on surgeon), and certain types of melanoma Level 1 Training - Advanced Medical Coding Training - Mohs surgery is performed in four steps: Surgical removal of tissue (Surgical Oncology) Mapping the piece of tissue, freezing and cutting the tissue between 5 and 10 micrometres using a cryostat, and staining with hematoxylin and eosin (H&E) or other stains (Including Toluidine Blue) Interpretation of microscope slides (Pathology) Possible reconstruction of the surgical defect (Reconstructive Surgery) The procedure is usually performed in a physician's office under local anesthetic. A small scalpel is utilized to cut around the visible tumor. Unlike a normal surgical excision, a Mohs surgery cut is performed at a beveling between 10 and 45 degrees to allow visibility of all skin layers during pathological diagnosis.[8] A very small surgical margin is utilized, usually with 1 to 1.5 mm of "free margin" or uninvolved skin. The amount of free margin removed is much less than the usual 4 to 6 mm required for the standard excision of skin cancers.[9] After each surgical removal of tissue, the specimen is processed, cut on the cryostat and placed on slides, stained with H&E and then read by the Mohs surgeon/pathologist who examines the sections for cancerous cells. If cancer is found, its location is marked on the map (drawing of the tissue) and the surgeon removes the indicated cancerous tissue from the patient. This procedure is repeated until no further cancer is found. Weekdays - Morning batch: Time - 9.30 am to 11.30 am Level 2 Training - CPC - Sat - Timing - 9.30 am to 12 Sun - Timing - 12.30 pm to 3 pm Dr. Rams Medical Coding Academy is the final destination for Medical Coding. We are imparting training in English, Tamil, and Hindi. Our academy is in Chennai, Tamil Nadu. We have provided the Insights about Medical Coding Job Placement. Contact Us for the various online and classroom training sessions: 80560 85596, 99627 91072 Email - [email protected] Watch our entire YouTube videos @Dr Ramasubbu (Or) Use the Below link: @DrRamasubbu CPT code changes 2024 new cpt codes for 2024 new hcpcs codes for 2024 medical coding quiz free medical coding quizlet medical coding quiz medical coding quiz questions medical coder quiz free medical coding questions and answers pdf medical coding questions and answers medical coding questions for practice cpt questions and answers pdf cpt questions and answers