CPT® Code 96904

1. Indications

Whole body integumentary photography is performed for the following indications:

• Dysplastic Nevus Syndrome This condition involves the sudden appearance of multiple abnormal moles, which necessitates careful monitoring to assess any changes that may indicate malignancy.
• History of Dysplastic Nevi Patients with a prior diagnosis of dysplastic nevi are at increased risk for developing skin cancer and require regular surveillance through photography.
• Personal or Familial History of Melanoma Individuals with a personal history of melanoma or those with a family history of the disease are considered high risk and benefit from ongoing monitoring to detect any early signs of skin cancer.

2. Procedure

The procedure of whole body integumentary photography involves several key steps to ensure comprehensive documentation of the patient's skin condition.

• Preparation of the Patient The patient is instructed to remove clothing and any accessories that may obstruct the view of the skin. The examination room should be well-lit to facilitate clear photography. The patient may be asked to stand in various positions to capture all areas of the body.
• Photographic Documentation Using a high-resolution camera, the healthcare provider takes extensive photographs of the patient's skin, ensuring that all areas, including hard-to-reach spots, are documented. This may involve using a standardized grid or template to ensure consistency in the images taken during follow-up visits.
• Review and Analysis After the photographs are taken, the healthcare provider reviews the images for any abnormalities or changes in the moles or skin lesions. This analysis is crucial for identifying any potential precursors to skin cancer.
• Storage and Comparison The photographs are stored securely in the patient's medical record, allowing for easy comparison during future visits. This longitudinal documentation is essential for monitoring changes over time and making informed clinical decisions.

3. Post-Procedure

After the whole body integumentary photography procedure, patients may resume their normal activities immediately. It is important for patients to follow up with their healthcare provider to discuss the findings from the photographs and any necessary next steps. Regular monitoring and follow-up appointments are essential for high-risk patients to ensure any changes in their skin condition are addressed promptly. Patients should also be educated on the importance of self-examinations and reporting any new or changing moles to their healthcare provider.