Frequently Asked Questions
What is MoleMapCD technology?
MoleMapCD technology is a CD-ROM-based imaging record system that employs total body photography, 35 images in all, to create a standardized, comprehensive "map" of a patient's body. It merges the latest in digital imaging technology with proprietary software to create a total body baseline record to enhance the early diagnosis of malignant melanoma in high-risk patients.
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Where was it developed?
MoleMapCD technology was developed in conjunction with the Duke University Comprehensive Cancer Center in Durham, N.C. by Jim Grichnik, MD, PhD, a nationally-recognized melanoma researcher and clinician. Dr. Grichnik has used the technology at Duke for over 10 years.
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How does a physician use MoleMapCD in his or her practice?
The physician identifies patients who are at high risk of melanoma, based on personal and/or family history of melanoma or a personal history of dysplastic nevi syndrome. If medically necessary, the physician refers the patient to DigitalDerm to be scheduled for a MoleMapCD.
Once the patient's photography is completed, the physician receives two copies of the patient's MoleMapCD along with the original images. The physician gives the patient a CD for self-exams. The physician places the second CD in the patient's medical record and uses it, as needed, during subsequent patient visits to identify changes in suspicious moles that might indicate melanoma. The original images also are placed in the patient's medical record.
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Does MoleMapCD replace traditional exam methods?
MoleMapCD is not a replacement for how physicians currently check patients for suspicious nevi (moles). Instead, it is an adjunct tool for comparing changes in the patient's skin. DigitalDerm, Inc., the maker of MoleMapCD, recommends doctors first do a visual exam of their patients and use MoleMapCD as a basis of comparison for concerning moles. If the doctor feels the concerning mole has indeed changed, then excision should be considered. Please see our complete disclaimer statement.
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What are the benefits to physicians?
Traditionally, physicians have relied on memory, notes, and in some cases, office photos, to track changes in patients' moles. There has been no systematic way to create a comprehensive, objective baseline record of patients' moles. MoleMapCD technology provides a standardized photographic record of a patient's entire skin surface, which is used as an adjunct tool to identify any changes in a patient's skin.
The MoleMapCD system also relieves physicians of the time and expense of taking photos of patients themselves. This practice, though common, does not result in the accurate, standardized images needed to properly document a patient's skin.
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What if my patient needs additional photographs taken to complete the comprehensive “map” of his or her body?
A physician may request up to five additional views of areas he or she wants to monitor closely. These areas may include underneath the breasts or genitals, along the hairline or between the buttocks. If additional views are taken, they are placed at the end the sequence of the 35 standard MoleMapCD images.
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How do patients use MoleMapCD?
The MoleMapCD is an excellent tool for regular, at-home, Skin Self-Examinations (SSE). Patients at high risk of melanoma should use the CD when checking their skin for any changes. The MoleMapCD Patient Brochure contains information on using the MoleMapCD during a SSE as well as a log to record SSE dates [Patient Brochure]. If a patient sees something suspicious, they should print out the screen and circle the troubling area. If the patient identifies a skin change, they should contact their physician immediately to schedule a professional exam.
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If I find a troubling spot or area on my skin while using my MoleMapCD during home self-examination, what should I do next?
First, print out the MoleMapCD screen containing the troubling area. Then, call your doctor to discuss the potential change and/or schedule an appointment. Bring the print out of the screen to your appointment so you can show your doctor exactly what concerns you.
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How do I know if MoleMapCD is right for me?
A MoleMapCD may be a valuable tool for patients at high risk of melanoma. The risk factors include a family history of melanoma, severe sunburns as a child or adult, previous melanoma or a personal history of moles known as dysplastic nevi. No one is without risk. It is important to ask your doctor if a MoleMapCD is right for you.
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What are the benefits to patients?
Patients at high risk of melanoma often feel anxious over real and perceived changes in their skin. MoleMapCD allows them to observe, compare and document changes in their skin within the privacy of their homes and call their physicians when a change is detected. Because it provides an accurate baseline of the entire skin surface, MoleMapCD aids the patient in detecting skin changes in its earliest stages thereby alerting their physician to potential melanomas between routine office visits.
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Is any special equipment required to use the MoleMapCD?
MoleMapCDs are compatible with any personal computer with a Windows 98SE and above-based operating system.
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Are MoleMapCDs covered by insurance?
Whole Body Integumentary Photography or Total Body Photography is recognized by the American Medical Association under CPT Code 96904. A growing number of major health insurers cover claims for total body photography. Self-insured plans can specify total body photography be covered in their plans Please review the Insurance section for more details. [Insurance]
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I am paying for the MoleMapCD myself. What are my payment options?
You have two options. Your first option is to pay for your MoleMapCD in full, by personal check or credit card (VISA, Master Card, Discover or American Express). The second option allows you to pay by a credit card three or six month installment plan: a down payment is required at the time of service, with three or six equal payments automatically charged to your card over the next three or six month period. The three month installment plan carries no interest of service charges. The six month plan has a $3.00 per month service fee.
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I have a health savings account (HSA). Can I pay for my MoleMapCD this way?
A Health Savings Account (HSA) is a savings account specifically set up to allow individuals to pay for qualified medical expenses. MoleMapCD is recognized by the American Medical Association under CPT code 96904 and can be paid for using an HSA.
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How often should a patient at high risk of melanoma have a MoleMapCD done?
In general, DigitalDerm recommends patients have a new MoleMapCD done every five years. However, your physician might determine the need for an updated MoleMapCD sooner based upon changes that have taken place on your skin surface.
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