Shave vs punch biopsy

Posted by tillymack @tillymack, Apr 14 12:13pm

I received a very concerning biopsy last week referring to "lentiginous junctional nevus with severe melanocytic dysplasia". I had assumed the dermatologist took a punch but just learned today that it was a shave biopsy. Should I be concerned that a shave biopsy might not capture the necessary tissue? The microscopic narration indicated "no significant migration of melanocytes into higher epidermal levels". I'm not sure what that means...
Thank you.

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I have had about a dozen biopsies.

My Mayo dermatologist always tells me the type of biopsy method he is doing based on the size and type of tissue he is taking the biopsy. So I have both.

Asked your dermatologist the pros and cons of both. I am just luck to have Mayo as my care giver and I get the explanation of type biopsy being taken and why.

I recently had a very large area on my back that I could never see. He was wanted to do all the area thus said to me I am doing a shave biopsy this time and as I posted why that type.

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@tillymack
If you only had a shave biopsy, it sounds like you need a full excision of the abnormal mole/growth. It is important to follow up with your dermatologist as soon as possible.

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A few years ago, I had a melanoma on my arm removed. My insurance approved it but did not pay for the incision to be closed. $800.
What to do about cost when removal is necessary?

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I think sometimes the doctor or surgeon will contact your insurance company on your behalf when such situations occur.

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@savvyme1

A few years ago, I had a melanoma on my arm removed. My insurance approved it but did not pay for the incision to be closed. $800.
What to do about cost when removal is necessary?

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@savvyme1
Not sure how old you are but Medicare covers surgery to remove skin cancers.

You can always challenge why your insurance company did not pay. If they approved the surgery they know there are costs fo close the incsion.

Now if insurance refuses try to contact the insurance department of your medical provider. Many times they will reduce the costs and or set up payment plan.

Does your insurance company had what the call assignments or approved charged for medical treatments. Even is don't cover something usually have a approved costs medical provider can charge. Also did your medical provider accept assignments from your insurance company. If so they should have provided you the insurance costs.

If me would first file appeal with insurance company to cover the charge as for any surgery there will be incision closing costs. Second did the insurance company advise the medical facility prior to surgery they would not cover incision closing? If you were not told would not be covered prior by your insurance company you have a good appeal.

If all fails contact the medical provider's insurance deparment and advise your insurance did cover the procedure and you were told it did to then find out after surgery done that insurance did not cover the inscision closing.
Good Luck

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