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Session handouts and meetings archive

Handouts ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023 Innovation Academy, Tampa, FL, August 10-13 2023 Annual Meeting, New Orleans, LA, March 17-21 Sessions ... 2025 Innovation

CME & session evaluation archive

Claim CME & submit session evaluations ... Claim CME credit and submit session evaluations for attending previous Academy meetings: ... 2025 Innovation Academy, Chicago, IL, July 10-13 2025 Annual Meeting, Orlando, FL, March 7-11 2024 Innovation Academy, Seattle, WA, August 1-4 2024 Annual Meeting, San Diego, CA, March 8-12 2023

Not just for boys: X-linked erythropoietic protoporphyria

By Warren R. Heymann, MD Sept. 7, 2017 I was anxiously awaiting the results of erythrocyte protoporphyrin levels obtained from a 4 year-old boy who avoids sunlight because his "skin hurts" when not in the shade. Until I read the article by Balwani, et al (1), I was unaware of

For patients with erythropoietic protoporphyria the tide has come in

By Warren Heymann, MD May 12, 2021 Vol. 3, No. 19 Oct. 8, 2019, was an eventful day for patients with erythopoietic protoporphyria (EPP) in the United States, when the FDA announced its approval of afamelanotide (Scenesse). (1) The drug was first approved in Italy in 2010. (2) ... Patients

Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503

Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one

Gains in Patient Activation Measure (PAM) Scores at 12 Months — Measure 503

Gains in Patient Activation Measure (PAM®) Scores at 12 Months ... DESCRIPTION: The Patient Activation Measure (PAM) is a 10- or 13-item questionnaire that assesses an individual’s knowledge, skills, and confidence for managing their health and health care. The measure assesses individuals on a 0-100 scale that converts to one

Immunohistochemistry

AADA Advocacy to EviCore Leads to Positive Changes on Immunohistochemistry (IHC) Policy ... In response to AADA advocacy, EviCore acknowledged that it has updated its IHC guidelines used by several health plans. The AADA continues to advocate to EviCore and changes to date include: ... It removed management of the

Focusing attention on X-linked ichthyosis

Ichthyosis vulgaris ... Credit: ... JAAD By Warren R. Heymann, MD Jan. 2, 2019 I thought it was me. Like every dermatologist, I learned the classical appearance of the ichthyoses, and wonder why I’m not sure if I am looking at a patient with ichthyosis vulgaris (IV) or X-linked ichthyosis

The heartrending aspects of incontinentia pigmenti

By Warren R. Heymann, MD March 12, 2018 Incontinentia pigmenti (IP, aka Bloch-Sulzberger syndrome) provides lessons in genetics, immunology, and neuroectodermal development. Frankly, I have never given much (if any) thought about its cardiovascular manifestations. Albeit rare, they are part of the spectrum of IP. ... IP is a rare

June 12

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2019 ... A new way to treat warts? Heat may be the answer. DW Insights and Inquiries : Taking the challenge: Social media, adolescents, and the skin Dollars and

Memories of pneumocystis pneumonia and thoughts of prophylaxis

By Warren R. Heymann, MD ... Nov. 27, 2017 ... A chest x-ray examination demonstrated a ground-glass appearance throughout the bilateral mid lung zones with sparing of the apices (Fig. 1). ... Credit: ... JAAD My childhood friend Alan was a rotating surgical resident at Methodist Hospital in Houston

Intro to ICD-10

The International Classification of Diseases (ICD) is used worldwide to identify health trends and statistics. ICD-10 is the most current U.S. version. It is a set of diagnostic codes that provides information for clinical, research, and reimbursement purposes — the information that Medicare and other payers need to justify medical

September 12

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / September 12, 2018 ... CMS continues to tinker with MIPS in 2019 proposal Experimental acne vaccine targets skin bacteria Call for nominations deadline is Oct. 1 Hospitals launch generic drug company

Going retro: Reactivation of incontinentia pigmenti

By Warren R. Heymann, MD Oct. 11, 2016 The concept of reactivating incontinentia pigmenti (IP) has always fascinated me — I have only encountered cases in my readings. Of course you will recall the vesicular, verrucous, hyperpigmented, and hypopigmented (atrophic) phases of this X-linked dominant disease. Eighty percent of

December 12

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / December 12, 2018 ... Trouble prescribing isotretinoin to new patients? New tax bill would repeal indoor tanning tax Are you smarter than DataDerm?™ Apply for the AAD’s Cochrane Scholarship Academy Advisory

Documenting the specificity of ICD-10-CM

The key to successfully coding ICD-10-CM: In a nutshell ... ICD-10-CM codes have greater specificity than previous coding sets. ... Coding the highest level of specificity requires documentation that captures the necessary details identified in the code description. ... Failing to document specific information in the medical record results in

AADA hosts largest Capitol Hill skin cancer check in a decade

On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health Fair with the Congressional Skin Cancer Caucus. This event was our largest to date, hosting 198 Hill staffers and 11 members of Congress, performing 127 skin checks, and providing 75 Reveal camera image results.

The nexus of VEXAS syndrome

By Warren R. Heymann, MD, FAAD December 1, 2021 Vol. 3, No. 47 You may not be familiar with VEXAS (Vacuoles, E1 enzyme, X-linked, Autoinflammatory, Somatic) syndrome, but it is conceivable that you have already unknowingly encountered patients with the disorder. ... To appreciate the clinical nuances of the VEXAS

July 10

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2019 ... FDA clears new body sculpting device DW Insights and Inquiries : The pachydermoperiostosis prostaglandin paradigm Increase in demand triggers shortage of intravenous immunoglobulin Patient Access Hero: Dallas

Demand for “Brotox” grows, along with other minimally invasive cosmetic trends

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, July 1, 2024 More men are investing in non-invasive cosmetic procedures, according to new data from the American Society of Plastic Surgeons (ASPS). 2022 survey data indicate that over 1.4 million male patients sought out minimally invasive cosmetic procedures —

April 10

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2019 ... ‘Inactive’ ingredients in pills may cause allergic reaction DW Insights and Inquiries: Is there a best approach to widespread actinic keratoses? What’s the optimal way to perform

October 10

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 10, 2018 ... CMS to make physicians’ offices fax-free by 2020 Are you smarter than DataDerm™? Issue breakdown: Compounding standard would disrupt care AI trained to classify common dermatopathology diagnoses

May 12, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 12, 2021 ... Telogen effluvium diagnosis during the COVID-19 pandemic DermWorld Insights and Inquiries : For patients with erythropoietic protoporphyria the tide has come in Derm Coding Consult : How

Paraneoplastic Sarcoidosis? A Proposal to Revise and Rename the “Sarcoidosis-Lymphoma Syndrome”

By Warren R. Heymann, MD June 18, 2018 ... A 45-year-old woman with cutaneous sarcoidosis at (A) baseline before treatment and (B) with koebnerization after BBLT (560 nm filter at 20 J/cm2, pulse width 30 msec, 20°C cooling, 7-mm square spot size, repetition rate 10 Hz). ... Credit: ... JAAD

Tarrying for tapinarof

By Warren R. Heymann, MD, FAAD January 12, 2022 Vol. 4, No. 2 Today we held our first round of interviews for our dermatology residency program for 2023. Meeting dermatology resident applicants is a delight — they are brilliant, engaging, and a source of pride for our discipline. We started

Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12

Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ...  ... MEASURE ID:  ... AAD12 ...  ... Type: Intermediate

Mogamulizumab for CTCL: Targeted therapy and immunotherapy crossing paths

By Ellen Kim , MD August 12, 2020 Vol. 2, No. 32 Preserving the host-immune system for as long as possible has been one of the guiding principles for me in treating patients with mycosis fungoides/Sezary Syndrome (MF/SS) subtypes of CTCL. As a CTCL clinical trial researcher, it has been

2025 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 24 - DWI&I Holiday greeting 2025 Dec. 17 - Long COVID has a lot of nerve Dec. 10 - The illusions of IgG4-related skin disease Dec. 3 - Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas

A shot in the dark

By Danielle M. DeHoratius, MD March 10, 2021 Vol. 3, No. 10 Danielle DeHoratius, MD ... For the past few Mondays, I have been asked to see the following "emergency" patients who called in with the diagnosis of cellulitis after the COVID-19 vaccination. Typically, these patients were seen in urgent

July 12, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 12, 2023 ... Association between hydrochlorothiazide use and nonmelanoma skin cancer DermWorld Insights and Inquiries : After 23 years, a syndrome converted me into an eflornithine believer Potential applications of

2026 AAD Innovation Academy Meeting: Housing

Registration is open! ... Spend a summer weekend learning the latest in dermatology! ... Register now Hotel reservations ... The hotel reservation deadline is ... Monday, June 22, 2026, at 12 p.m. (CT). Don’t forget to register and reserve your hotel as soon as possible. Rooms in New York City

January 12, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 12, 2022 ... Probiotics for atopic dermatitis? DermWorld Insights and Inquiries : Tarrying for tapinarof Derm Coding Consult : Patch testing unit of service reduction averted Research gap years may

The ACA: 10 years later...during a pandemic

Go to AAD Home ... Go to AAD Home ... Menu ... It survived for a decade, but will it survive another 10 years after COVID-19? ... It survived for a decade, but will it survive another 10 years after COVID-19? ... By Ruth Carol, contributing writer On its 10

Fixing the concept of the neutrophilic fixed drug eruption

By Warren R. Heymann, MD, FAAD Oct. 12, 2022 Vol. 4, No. 41 Can anyone other than your mother recognize you from your baby photograph? The concept that lesions have lives is nothing new — clinical and histopathological changes vary from lesional inception to involution. Despite this truism, confusion about

Antihypertensive agents and eczema: New data for older patients

By Warren R. Heymann, MD, FAAD March 12, 2025 Vol. 7, No. 10 "Anyone who recalls the 1971 Loving Care commercial exclaiming, ‘You’re not getting older. You’re getting better!’ is getting older. America is graying — in 2019, people older than 65 years accounted for 16% of the population; in

Highlighting the specialty in the nation’s capital

Every year, dermatologists and patient advocates come to Washington, D.C., to learn about and participate in the advocacy process by visiting with federal lawmakers. During the annual AADA Legislative Conference, held on Sept. 10-12, 2023, almost 200 attendees urged Congress to: ... Address the systemic issues within the Medicare physician

November 12, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 12, 2025 ... Efficacy of OTC androgenetic alopecia therapies vs. FDA-approved monotherapies DermWorld Insights and Inquiries : JAK inhibitors battle in the heavyweight class Is there increased psoriasis risk in

Twenty years of imiquimod taking its toll on lentigo maligna — Where are we?

By Warren R. Heymann, MD February 12, 2020 Vol. 2, No. 6 Although Y2K never amounted to much, a solitary case report that year changed the dynamic in treating a vexing problem — melanoma in situ of the lentigo maligna (LM) subtype. Ahmed and Berth Jones reported treating an 88-year

How can I get involved with this year’s Legislative Conference?

Asked and Answered ... July 1, 2023 The 2023 AADA Legislative Conference will take place Sept. 10-12, at the Conrad Hotel, in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about the

February 12, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 12, 2020 ... FDA prioritizes drug shortages with new approval policy DW Insights and Inquiries : Twenty years of imiquimod taking its toll on lentigo maligna: Where are we? CMS

Triskaidekaphobia legitimized: Fatal Factor XIII deficiency

By Warren R. Heymann, MD, FAAD April 12, 2023 Vol. 5, No. 15 I am not especially superstitious. The number 13 has never concerned me but acquired Factor XIII deficiency has now joined my ever-expanding pantheon of new complications to worry about. ... The article entitled "Association of lethal acquired

January 10, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Jan. 10, 2024 ... Intralesional MMR vaccine after failure of intralesional Candida antigen in patients with recalcitrant warts DermWorld Insights and Inquiries : Beyond disfigurement — The potential for keratinocyte carcinoma

2026 AAD Innovation Academy: Important dates

Registration ... Registration will open according to the schedule below: ... Early access registration and fees ... (AAD members only) : Wednesday, March 11, 2026, at 12 p.m. noon (CT). ... Standard registration and fees: Begin Wednesday, April 22, 2026, at 12 p.m. noon (CT). ... International registrants will automatically

April 12, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 12, 2023 ... Perioperative imaging for high-stage cutaneous SCC may guide management DermWorld Insights and Inquiries : Triskaidekaphobia legitimized: Fatal Factor XIII deficiency Contact allergens in nail products DataDerm™: 2022

June 12, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 12, 2024 ... Acne in pregnancy: The safest options DermWorld Insights and Inquiries : CXCR4 antagonist therapy based on a WHIM syndrome Nonsteroidal approaches for treating patients with atopic dermatitis

March 12, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 12, 2025 ... GLP-1RA medications and hair loss DermWorld Insights and Inquiries : Antihypertensive agents and eczema — New data for older patients Combined oral contraceptives may be beneficial for

October 12, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 12, 2022 ... Type 2 diabetes and CCCA severity DermWorld Insights and Inquiries : Fixing the concept of the neutrophilic fixed drug eruption What’s the risk of IBD in patients

August 12, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 12, 2020 ... Treating trichotillomania: Beyond antidepressants DW Insights and Inquiries : Mogamulizumab for CTCL — Targeted therapy and immunotherapy crossing paths 2021 Medicare fee schedule rewards cognitive work, but

Danazol for telomerase disorders: Prolonging the end — For chromosomes (yes), for dyskeratosis congenita (perhaps)

By Warren R. Heymann, MD May 18, 2016 Telomeres are located at the ends of chromosomes; they are repaired by telomerases. Shortening of telomeres leads to cell senescence, apoptosis, and chromosome instability. Male hormones have been used for decades to treat bone marrow failure and may have their effect by

February 12, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / February 12, 2025 ... Is there an association between metformin use and the risk of nonmelanoma skin cancer? DermWorld Insights and Inquiries : Making a pitch for the C-reactive protein/albumin ratio

Leishmania episode 1a: attack of the clones

By Kiran Motaparthi, MD February 10, 2021 Vol. 3, No. 6 Cutaneous leishmaniasis (CL), although not life-threatening, can progress to a disfiguring disease with prominent scarring. Humans serve as reservoirs for > 20 species of ... Leishmania, which are transmitted as flagellate promastigotes by sandflies. Within humans, the organisms convert

March 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy

June 10, 2020

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / June 10, 2020 ... Where is teledermatology most useful? Patient web searches may provide clues. DW Insights and Inquiries : Lichenoid and granulomatous dermatitis — Points to ponder During the COVID-19

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month

New data to recall when considering radiation recall dermatitis

By Warren R. Heymann, MD Sept. 30, 2020 Vol. 2, No. 39 I have always been mystified by the diagnosis of radiation recall dermatitis (RRD). RRD was first described in 1959 by D’Angio et al who stated: "Actinomycin D therapy alone can reactivate ‘latent’ radiation effects in normal tissues. For

Taking the challenge: Social media, adolescents, and the skin

By Albert C. Yan, MD June 12, 2019 Vol. 1, No. 14 Patterned skin injury can raise the specter of non-accidental trauma. However, over the past decade or so, striking examples of patterned skin injury have emerged among adolescents and pre-teens that share certain features: these are self-induced voluntarily; the

British Journal of Dermatology

The pachydermoperiostosis prostaglandin paradigm Tofacitinib: A JAK inhibitor of all trades Focusing attention on X-linked ichthyosis We’ve gotta recognize GATA2 deficiency Sirolumus’s merit for the Kasabach-Merritt phenomenon Aha! The iodide paradox now makes sense! Changing perceptions of pediatric mastocytosis A string of (clinical) pearls about drug-induced linear IgA disease Dupilumab’s

May 10, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 10, 2023 ... Is spironolactone use for acne associated with increased risk for venous thromboembolism? DermWorld Insights and Inquiries : PRAME sets its eyes on the road to fame How

Advocacy win: Blue Cross Blue Shield of North Carolina to rescind modifier 25 policy

As a direct result of the AADA’s advocacy, Blue Cross Blue Shield of North Carolina (BCBS NC) is rescinding its modifier 25 payment reduction policy. ... Without AADA’s advocacy, the policy would have gone into effect July 10 and reduced payment for non-preventive evaluation and management services by 50% when

Making a pitch for the C-reactive protein/albumin ratio

By Warren R. Heymann, MD, FAAD Feb. 12, 2025 Vol. 7, No. 6 Studying the PhanaVision jumbotron at Citizens Bank Park on a warm Friday evening in June, I realized that when analyzing baseball data, I am "old school." In my youth, the critical measure of a pitcher’s success was

Forty years of marriage, dermatology, inequities, and gratitude

By Warren R. Heymann, MD, FAAD Aug. 10, 2022 Vol. 4, No. 32 We have all been affected by the COVID-19 pandemic. There have been more than one million fatalities in the United States. Additionally, the associated sequelae of COVID — long-COVID in survivors, compounded by emotional, financial, and scholastic

Cost (30%)

Unlike the other MIPS categories, dermatologists and other eligible clinicians do not have to actively report data for the cost category. Instead, CMS automatically calculates the clinician’s performance score using information from claims data. ... If dermatologists have at least 10 melanoma resection episodes that meet the eligibility criteria for

Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP

By Warren R. Heymann, MD, FAAD November 10, 2021 Vol. 3, No. 45 ASAP, the well-recognized acronym for "as soon as possible," takes on special significance for dermatologists confirming the diagnosis of toxic epidermal necrolysis (TEN). In 2004, Ting et al introduced an alternative definition of the ASAP acronym —

Nailing the diagnosis of psoriatic arthritis

By Warren R. Heymann, MD Oct. 30, 2017 ... A to E, Patient with psoriatic arthritis. A, Dactylitis of 4th toe. B, Enthesitis of Achilles tendon. C, X-Ray of dactylitis of 4th toe. D, Severe nail dystrophy. E, Large discoid plaques on elbows. ... Credit: ... JAAD Nail psoriasis (NP)

Advocacy Update Aug 12, 2025

IN THIS ISSUE / August 12, 2025 Contact Congress to urge support for sunscreen reform AADA urges HHS to study step therapy requirements’ impact AADA advocates for state advocacy priorities at national meeting of state legislators AADA congratulates new CDC Director Susan Monarez AADA’s advocacy newsletter wins award for publication

Colorado Medicaid now covers vitiligo treatment

The Colorado Drug Utilization Review Board agreed with the AADA and classified vitiligo as a medical condition. ... Precedent exists for treating vitiligo as a medical condition. In 2022, the FDA approved topical ruxolitinib for regimentation of non-segmental vitiligo in patients ages 12 or older. ... As a result of

This month's news from across the specialty

What's hot ... December 1, 2019 In this monthly column, members of  ... Dermatology World 's Editorial Advisory Workgroup identify exciting news from across the specialty.   ... BRYAN CARROLL, MD, PhD X marks the spot — PRAME expression for marking melanoma. PRAME ( ... PR eferentially expressed ... A

December 10, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 10, 2025 ... Hydrocolloid dressing vs. petroleum for scar appearance after dermatologic surgery DermWorld Insights and Inquiries : The illusions of IgG4-related skin disease Recovering from SJS and TEN Vitamin

This month's news from across the specialty

What's hot ... January 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Sylvia Hsu, MD, FAAD Diagnostic conundrums are often presented at dermatology teaching conferences in which the presenter asks the audience for a differential

Quick coding guides

Download these coding tip sheets for practical guidance on common coding. All of the links are PDFs. ... ICD-10 tip sheets ICD-10-CM Quick Coder Contact Dermatitis Quick Coder Insect Bites and Stings Quick Coder E/M coding tip sheet E/M Quick Coder Ancillary checklists Definitions for the MDM Elements Terminology CPT

CMS announces new Place of Service code for telehealth services provided to patients in their homes

CMS has announced a new Place of Service code, POS 10, for use in reporting telehealth services provided to patients who are in their own homes. Additionally, CMS has revised POS 02 for reporting telehealth services provided to patients not located in their own homes. ... Place of Service 02

July 10, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 10, 2024 ... Efficacy of probiotics in the treatment of patients with acne DermWorld Insights and Inquiries : Vasculitis on the run Cosmetic tattoos, permanent makeup may cause allergic contact

Resident International Grant

International Travel ... The Academy reserves the right to modify or cancel the Resident International Travel Grant Program or specific grants made under this program based on circumstances in particular cities, regions, or countries. ... The fall 2023 application cycle for rotations July-December 2024 has been cancelled. Please check back

Psoriasiform eruptions during Kawasaki disease (KD): A prognosis that lets the good times roll

By Warren R. Heymann, MD June 27, 2016 Psoriasiform skin changes have been rarely described in the literature in both acute (1-4 weeks) and convalescent phases (4-12 weeks) of KD (1). ... Haddock et al, in their review of 870 cases of KD, identified 11 patients with a psoriasiform eruption

Will PD-1 inhibitors be msed for Mastocytosis?

By Warren R. Heymann, MD May 8, 2016 Kuklinski L, Kim J. Expression of PD-L1 in mastocytosis. J Am Acad Dermatol 2016; 74: 1010-2. ... The authors evaluated 16 specimens from 12 patients with mastocytosis, using immunohistochemical stains for PD-L1, CD-117, and mast cell tryptase on all specimens. Of the12

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy — Measure 176

Tuberculosis Screening Prior to First Course Biologic and/or Immune Response Modifier Therapy ... DESCRIPTION: If a patient has been newly prescribed a biologic and/or immune response modifier that includes a warning for potential reactivation of a latent infection, then the medical record should indicate TB testing in the preceding 12-month

April 10, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 10, 2024 ... Whey protein consumption and acne severity in men with acne DermWorld Insights and Inquiries : Anticipating Iceland — Ice-pack dermatosis Derm Coding Consult : CMS creates permanent

After 23 years, a syndrome converted me into an eflornithine believer

By Warren R. Heymann, MD, FAAD July 12, 2023 Vol. 5, No. 28 I learned that Vaniqa (eflornithine - ... α -difluoromethylornithine [DFMO]) was discontinued. Topical eflornithine was released in 2000 to reduce facial hirsutism. When the drug was released, I recall being fascinated by the premise of its mechanism.

2020 ICD-10-CM Coding Updates

Dermatology has a few new or newly updated ICD-10-CM codes for 2020. Listed below are new categories/subcategories of codes that will impact dermatology as of October 1, 2019. ... Below are some of the proposed revisions and/or updates to the diagnosis codes that dermatology practices need to focus on. Italicized

A single case report has the potential to change the world: Could JAK inhibition alter the trajectory of multicentric reticulohistiocytosis?

By Warren R. Heymann, MD, FAAD Aug. 3, 2022 Vol. 4, No. 31 In 1965, Reye described 18 small, fibrous tumors from 12 children submitted to his laboratory for histological examination, that he had accumulated over two decades. Initially, these lesions were tentatively classified as well-differentiated fibrosarcomas. His seminal observation

November 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Nov. 10, 2021 ... CMS, OSHA release rules expanding workforce vaccination requirements DermWorld Insights and Inquiries : Recognizing toxic epidermal necrolysis-like acute cutaneous lupus erythematosus ASAP Prognostic value of lymphovascular invasion

Member benefits – coding

Free coding instruction modules for residents added to aad.org ... We recently unveiled the long-awaited and much anticipated Resident’s Online Coding Education, otherwise known as ROCE. ... The goal of ROCE is simple: help residents understand the basic fundamentals of coding. The course features 12 brief, narrated modules that tackle

February 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 10, 2021 ... FDA clears device to improve cellulite DermWorld Insights and Inquiries: Leishmania episode 1a — attack of the clones Distance traveled: Dr. Lim’s diversity focus as Academy president

August 10, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 10, 2022 ... Tetracyclines may pose greater hyperpigmentation risk DermWorld Insights and Inquiries : Forty years of marriage, dermatology, inequities, and gratitude Registry now accepting monkeypox cases AAD statement on

March 10, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 10, 2021 ... Periungual warts: Is intralesional antigen immunotherapy effective? DermWorld Insights and Inquiries: A shot in the dark How does baricitinib fare in alopecia areata? Do calcineurin inhibitors, phototherapy

September 10, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 10, 2025 ... Most effective monotherapy for androgenetic alopecia DermWorld Insights and Inquiries : Twenty-first century pellagra Is there an association between JAKis and malignancy risk in alopecia areata? PRP

The brave new world of melanoma gene expression markers

By Warren R. Heymann, MD May 14, 2016 Epidermolysis bullosa nevi (EBN) are clinically alarming lesions that may display "pseudomelanoma" features histologically. Changes within these lesions may be disconcerting, necessitating repeated biopsies. Any advances to predict biologic behavior would be welcome. ... Ahn et al report the case of a

CXCR4 antagonist therapy based on a WHIM syndrome

By Warren R. Heymann, MD, FAAD June 12, 2024 Vol. 6, No. 24 Emelio* had a delightfully whimsical personality that matched his syndrome’s acronym — WHIM ( ... W arts, ... H ypogammaglobulinemia, ... I nfections, and ... M yelokathexis). His smile was as infectious as his verrucae, and he

ICD-10-CM diagnosis coding updates for 2024

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2023 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The CDC and the National Center

Resorcinol’s resourcefulness in hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD March 22, 2023 Vol. 5, No. 12 Management of hidradenitis suppurativa (HS) is challenging, including medical and surgical approaches, which are often combined for best outcomes. Lifestyle changes, pain management, and emotional/psychiatric issues must be addressed. Therapeutic approaches include the use of topical therapies

Iododerma from contrast material or Sweet syndrome?

By Warren R. Heymann, MD June 23, 2016 Take a look at "Images in Clinical Medicine" in the June 23rd issue of the ... New England Journal of Medicine (1). ... The authors present the case of a 57 year-old man who presented with a 12 hour history of hematuria.

Wolf’s isotopic response: Where and when

By Warren R. Heymann, MD, FAAD Oct. 18, 2023 Vol. 5, No. 42 Wolf’s isotopic response (WIR) has been a mysterious and controversial dermatological sign for almost 40 years. In 1984, the Doctors Wolf (Ronni and Danny) described two cases — a 52-year-old man and a 12-year-old girl — both

Pathways: High school students

Bring information about a career in dermatology to a high school ... Help students discover the fascinating world of skin science with these comprehensive lesson plans, developed in collaboration with Young Minds Inspired. These engaging and interactive resources for grades 9-12 are designed to spark curiosity and enhance understanding of

Best of DermWorld Insights and Inquiries

Dec. 27, 2023 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2023 — starting with the most popular issue of the year. ... 1. After 23 years, a

Preferentially expressed antigen in melanoma (PRAME)

By Jason B. Lee, MD, FAAD May 10, 2023 Vol. 5, No. 19 In 1980, the discovery of S100 protein expression in cultured metastatic melanoma cell lines (1) stirred excitement in the pathology community for its potential role as a diagnostic marker for melanoma. The excitement was short-lived once it

Lichenoid and granulomatous dermatitis: Points to ponder

By Kiran Motaparthi, MD June 10, 2020 Vol. 2, No. 23 Clinical-pathologic correlation is the foundation of dermatologic diagnosis; often this is straightforward, but on occasion, getting to the precise diagnosis requires great thought and sleuthing. If you receive a report from your dermatopathologist with a descriptive diagnosis of "lichenoid

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months

CMS updates Advance Beneficiary Notice (ABN) form: What practices need to know

CMS has issued an updated Advance Beneficiary Notice of Noncoverage (ABN), ... Form CMS-R-131 , with the revised form effective now and valid through March 31, 2029. While practices may continue using the prior expired version during the short transition period, ... mandatory use of the revised ABN begins May

Propranolol for infantile hemangiomas: Start to finish

By Warren R. Heymann, MD, FAAD March 26, 2025 Vol. 7, No. 12 "We have observed that propranolol can inhibit the growth of these [infantile capillary] hemangiomas." (1) In my career, I cannot think of any statement that led to such a swift, dramatic paradigm shift in management more than

2026 AAD Innovation Academy: Hotel reservations, rates, and locations

Hotel accommodations and reservations ... Hotel reservations ... The hotel reservation deadline is ... Monday, June 22, 2026, at 12 p.m. (CT). Don’t forget to register and reserve your hotel as soon as possible. Rooms in New York City fill quickly, and early booking ensures the best availability and rates.

ICD-10-CM diagnosis coding updates for 2025

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and

ICD-10-CM diagnosis coding updates for 2023

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, October 1, 2022 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and

Advocacy Update March 10, 2026

IN THIS ISSUE / March 10, 2026 AADA, DermCAC urge targeted revisions to allergy diagnostic testing Dermatology hammers to stop SRT LCD policy Academy advocates against scope expansion, for sunscreen access in New Hampshire Contribute to SkinPAC Regulatory Advocacy AADA, DermCAC urge targeted revisions to allergy diagnostic testing ... The

AAD Clinical Community surpasses 10 million views

In 2022, we launched the AAD Clinical Community — a free, secure forum by dermatologists for dermatologists to discuss clinical issues and more. ... In 2023, the Community surpassed 10 million views on discussions. 80% of all discussions in the AAD Clinical Community have received a response from a dermatology

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling — Measure 431

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling ... DESCRIPTION: The percentage of adult patients who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 12 months and received brief counseling if identified as an unhealthy alcohol user. ...

Advocacy Update Jun 10, 2025

IN THIS ISSUE / June 10, 2025 AADA President advocates for Medicare payment reform at House Doctors Caucus Roundtable AADA continues advocating on CLIA lab director requirements Attention Residents: Scholarships available for 2025 Legislative Conference Join your colleagues and contribute to SkinPAC Medicare physician payment reform AADA President advocates for

Coughing up a new warning for ustekinumab

By Warren R. Heymann, MD May 15, 2019 Vol 1, No. 10 After using a drug for years, physicians become comfortable with the benefits and risks of the frequently prescribed agent. I have utilized ustekinumab extensively — learning of new adverse reactions is sobering. ... Ustekinumab has been in use

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention — Measure 226

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention ... DESCRIPTION: The percentage of patients aged 12 years and older who were screened for tobacco use one or more times within the measurement period and who received tobacco cessation intervention during the measurement period or in the six months

Advocacy Update Feb 10, 2026

IN THIS ISSUE / Feb. 10, 2026 FDA finally confirms iPLEDGE changes reducing patient and prescriber burdens Dermatology and allergy groups demand FDA preserve patch testing access Five Medicare contractors will require additional training for superficial radiation therapy AADA urged FDA to advance sunscreen innovation Join your colleagues and contribute

Breaking the terbinafine laboratory habit for onychomycosis

By Warren R. Heymann, MD May 22, 2019 Vol. 1, No. 11 ... Are you a creature of habit when it comes checking laboratory tests for certain prescriptions? I am. I get nervous if the quantiferon TB test is not checked annually for patients on biologics. If my patient is

Cost (30%)

Cost field test on non-pressure ulcers ... CMS will conduct field testing from Jan. 29 to Feb. 27, 2026, for a new episode-based cost measure on non-pressure ulcers. Field testing does not impact Medicare payments, but CMS encourages recipients to review their report in the Quality Payment Program (QPP) portal

ICD-10-CM diagnosis coding updates for 2022

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding & reimbursement, September 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . The National Center for Health Statistics (NCHS) within

Biologic Administration Coding-Resource Tool for 2019

The administration of certain drugs and biologic agents should not be billed using a chemotherapy administration code. Instead, the subcutaneous administration of some drugs should be billed using CPT code 96372, Therapeutic, prophylactic, or diag-nostic injection. ... The Centers for Medicare & Medicaid Services (CMS) provides additional guidance as to

San Diego AAD musings

By Warren R. Heymann, MD, FAAD March 20, 2024 Vol. 6, No. 12 Pre-AAD  ... Carlos Vieira, our second-year resident, was too polite to ask directly, so he sent our faculty an email stating the time and place of his first AAD presentation ("Tapinarof-induced acute generalized exanthematous pustulosis" at the

Advisory Board considers five resolutions at General Business Meeting

The American Academy of Dermatology’s Advisory Board met on March 10 at its General Business Meeting during the 2024 AAD Annual Meeting in San Diego and considered five member-submitted resolutions. ... The Advisory voted to not adopt the following resolutions, and they will not move forward for consideration by the

Choosing wisely: Recommendations about treatments, tests, and procedures

The ABIM Foundation’s Choosing Wisely ... ® ... campaign is focused on encouraging physicians and patients to talk about medical tests and procedures that may be unnecessary, and in some instances, can cause harm. To join, a medical society must provide expert guidance on five medical tests or treatments commonly used in its field.

2025 AAD Innovation Academy takes Windy City by storm

More than 1,100 attended the unique program. ... The 2025 AAD Innovation Academy took place in Chicago, July 10–13, with more than 1,100 attendees — an increase from last year’s attendance. ... Participants heard talks on leadership, business, and innovation in dermatology. The event kicked off with an address from

Digital media kit: DermWorld editorial calendar

Download a PDF of the 2026 DermWorld editorial calendar . ... JANUARY ... FEBRUARY ... MARCH ... Preparing derms to use ... GLP-1 RA Coding: Soft tissue excision ... Managing declining morale in health care ... Close: 11/25/25 ... Materials due: 12/3/25 ... Mail date: 1/2/26 ... Update on ...

July 2, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 2, 2025 ... Isotretinoin for seborrheic dermatitis DermWorld Insights and Inquiries : Turning our attention to melanoma risk in Turner syndrome CMS updates MUE limit for Ameluz — Effective July

2026 CPT coding updates

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, January 1, 2026 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention

The pregnant pause in cutaneous lymphoma

By Jennifer Villasenor-Park, MD, FAAD Oct. 2, 2024 Vol. 6, No. 40 I first met Anne when she was 30 years old and was experiencing a significant flare of her mycosis fungoides. She had already lived with the disease for 18 years having been diagnosed at the age of 12

The illusions of IgG4-related skin disease

By Warren R. Heymann, MD, FAAD Dec. 10, 2025 Vol. 7, No. 48 "The greatest enemy of knowledge is not ignorance; it is the illusion of knowledge." – Stephen Hawking Prior to researching this commentary, I had illusions that I grasped the fundamental concepts of IgG4-related disease (IgG4-RD); after writing

Advocating for you — We prevented Medicare cuts in 2022

In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes with the evaluation and management (E/M) codes, sequestration, and the budget rules associated with the Pay-As-You-Go Act of 2010. The AADA focused on averting the steep cuts — looking for long-term solutions

Best of DermWorld Insights and Inquiries

Dec. 26, 2024 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2024 — starting with the most popular issue of the year. ... 1. Weighing in on glucagon-like

Best of DermWorld Insights and Inquiries

Dec. 31, 2025 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2025 — starting with the most popular issue of the year.  ... 1. Loss and legacy: A

Beyond disfigurement: The potential for keratinocyte carcinoma in discoid lupus erythematosus

By Warren R. Heymann, MD, FAAD Jan. 10, 2024 Vol. 6, No. 2 Cosmetic disfigurement due to scars and dyspigmentation is the main complication of discoid lupus erythematosus (DLE). The current classification of cutaneous lupus erythematosus (CLE) includes acute cutaneous LE (ACLE), subacute LE (SCLE), chronic cutaneous LE (DLE, LE

AADA hosts annual Capitol Hill skin cancer screening event

On May 10, the AADA, in conjunction with the Congressional Skin Cancer Caucus, held its ... Annual Congressional Skin Cancer Screening and Health Fair, which offered free skin cancer screenings to members of Congress, staff, and the public. ... Over 120 attended the event. In addition, 11 AADA physician members

Board of Directors meeting minutes

Below are the approved minutes from the AAD and AAD Association Board of Directors meetings for the past year. Please email Kim N. Andersen, DipESG, at ... knoelleandersen@aad.org with any questions or if you would like to request the minutes from a particular past Board meeting. ... Board of Directors

Excludes notes

ICD-10 Excludes notes: In a nutshell ... ICD-10-CM codes include two sets of exclusions. ... Excludes 1 exclusions indicate when two codes cannot be billed at the same time. ... Excludes 2 exclusions indicate that the codes are separately billable. ... Excludes 1 Note ... Within the ICD-10-CM manual, you

The profound dermatological manifestations of COVID-19 Part VI: Going to the dogs

By Warren R. Heymann, MD July 29, 2020 Vol. 2, No. 30 Disclaimers: This commentary was written on July 12, 2020 for a publication date of July 29, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual

Angiolymphoid hyperplasia with eosinophila and kimura disease: Dupilumab beckons

By Warren R. Heymann, MD April 10, 2017 Histopathologic features of Kimura's disease. A, Scanning view shows prominent germinal center formation. B, Higher magnification of a germinal center with abundant number of eosinophils. C, Focally, blood vessels may show prominent endothelial cells with vacuolated cytoplasm. (A-C, Hematoxylin-eosin stain; original magnifications:

August 3, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Aug. 3, 2022 ... Dutasteride microinjections with oral minoxidil vs. oral minoxidil for androgenetic alopecia DermWorld Insights and Inquiries : Infantile digital fibromatosis – Inclusions and exclusions CMS outlines payment changes

2023 MIPS and telehealth highlights

Eligibility criteria ... The low volume threshold remains the same as 2022 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments of

A new wrinkle in the diagnosis of cystic fibrosis?

By Warren R. Heymann, MD, FAAD March 23, 2022 Vol. 4, No. 12 Sir, - I have observed that the skin of children with cystic fibrosis wrinkles excessively early when soaked with tap water. The physical sign is highly reliable irrespective of the degree of nutrition of the patient…It is

The profound dermatological manifestations of COVID-19

By Warren R. Heymann, MD March 18, 2020 Vol. 2, No. 11 Disclaimers: This commentary was written on March 12, 2020 for a publication date of March 18, 2020. The issues related to the COVID-19 pandemic are changing at breakneck speed. The content included in this commentary may no longer

Cannabinoids may elevate therapy for connective tissue diseases to a higher level

By Warren R. Heymann, MD Nov. 2, 2017 Medical "reefer madness" is taking hold in the United States with approximately 10% of cannabis users utilizing it for diverse medical conditions, including dermatologic disorders such as pruritus and atopic dermatitis. To date, at least 28 states allow for the use of

Chronic Skin Conditions: Patient Reported Quality-of-Life — QCDR measure AAD8

Chronic Skin Conditions: Patient Reported Quality-of-Life ... DESCRIPTION: The percentage of patients aged 18 years and older with a chronic skin condition whose self-assessed quality-of-life was recorded at least once in the medical record within the measurement period. ...  ... MEASURE ID:  ... AAD8 ...  ... Type:

2025 AADA Legislative Conference: Legislative asks

Keynote speaker ... Alex Azar, 24th Secretary of the U.S. Department of Health and Human Services ... Monday, Sept. 14, 12:30 p.m. - 1:30 p.m. Alex Azar was the 24th secretary of the Department of Health and Human Services. He was the architect of Operation Warp Speed, delivering COVID-19 vaccines

Small group practice (6-15 practitioners)

Best for: Dermatologists seeking clinical autonomy, peer collaboration, and work-life balance without solo ownership responsibilities. ... Quick summary: Join a privately owned dermatology group with a small number of physician partners. It offers more control than you’ll find in large settings, but also more help than a solo practice. A

MIPS 2022 program highlights

Eligible clinicians ... Revised the definition of a MIPS eligible clinician to include: ... Clinical social workers ... Certified nurse mid-wives ... Eligibility criteria ... The low volume threshold remains the same as 2021 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients

Atopic dermatitis hide and seek: The impending role of OX40 inhibition

By Warren R. Heymann, MD, FAAD Sept. 11, 2024 Vol. 6, No. 37 The burden of atopic dermatitis (AD) — for patients, their families, and society — is vast and increasing. AD affects approximately 10% to 30% of children and 2% to 10% of adults in developed countries. (1) Aside

This month’s news from across the specialty

What’s hot ... March 1, 2026 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Harry Dao Jr., MD, FAAD Injectable biologics remain the gold standard for achieving optimal clinical responses in psoriasis, but fear of injections leads many

Sweating over sweat gland carcinomas: Part 2 — Eccrine mucin-producing sweat gland carcinoma

By Warren R. Heymann, MD, FAAD Aug. 20, 2025 Vol. 7, No. 33 As I write this commentary, March Madness is underway. According to the NCAA, the odds of predicting all 63 NCAA tournament games correctly are approximately 1 in 9.2 quintillion (a quintillion is 10 to the 18th power).

Breaking up (with habits) is hard to do: The role of platelet transfusions when performing skin biopsies on profoundly thrombocytopenic patients

By Warren R. Heymann, MD ... May 12, 2017 ... Hypersensitivity reaction with hemorrhagic appearance in thrombocytopenic patient. ... Credit: ... JAAD We are taught at an early age to live by the rules. In an interesting essay entitled "Breaking the Rules for Better Care", Berwick et al tell

How to treat dandruff

Board-certified dermatologist’s tips ROSEMONT, Ill. (Dec. 12, 2023) — Dandruff, a common scalp condition, affects people of all ages, especially in the cold winter months. If you notice small pieces of dry skin flaking from your scalp or persistent itching, it may be time to seek treatment options. ... "It is

Vaccines, maintenance, and PEP

The information below is provided for informational purposes only and does not represent treatment or vaccine guidelines from the AAD. Please refer to your local, state, or national guidelines for treatment and vaccine guidelines. ... 1. What are the guidelines for routine MMR vaccination? ... 1,2 ... The routine vaccination

IL-36 and generalized pustular psoriasis: L’chaim!

By Warren R. Heymann, MD, FAAD March 9, 2022 Vol. 4, No. 10 In 1910, Leo Ritter von Zumbusch meticulously detailed the clinical course of "psoriasis pustulosa generalisata" (referred to herein as generalized pustular psoriasis, GPP) in a brother and sister, pondering if this was a variant of psoriasis or

Location codes

Location: In a nutshell ... For some procedures, there are different codes for specific anatomical regions. ... There are site-specific biopsy and destruction codes available, and these codes should be reported as long as the coding criteria and guidelines are met. ... You need to pay close attention to where

JAAD impact factor ranks No. 1 among dermatology journals

JAAD International debuts at No. 10 ROSEMONT, Ill. (June 19, 2025) — The ... Journal of the American Academy of Dermatology remains the top peer-reviewed journal in its field for the sixth straight year, according to the 2024 journal impact factor (JIF) rankings recently published by ... Clarivate’s Journal Citation

August 8

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / August 8, 2018 ... August Access Hero: Cory Simpson, MD USP publishes proposed revisions to chapter on compounded sterile preparations CDC offers infection prevention guide as patient infection incidents increase Severity

The H syndrome – Understanding Y

By Warren R. Heymann, MD April 15, 2020 Vol. 2, No. 15 It has been more than a decade since the H syndrome was described by Molho-Pessach et al, in their report of 10 patients from 6 Arab consanguineous families. (1) More than 100 cases have now been reported worldwide.

Shades of Shelley: Azithromycin therapy for erythema annulare centrifugum

By Warren R. Heymann, MD April 12, 2018 The front (A1) and back (A2) portions of his upper thigh show signs of severe Erythema Annulare Centrifugum. ... Credit: ... JAAD When I first arrived in Philadelphia in 1984 for my dermatopathology fellowship at the University of Pennsylvania, the most exciting

In the Know

The AMA and UHC Collaborate to Develop Social Determinant Diagnosis Codes ... Did you know that United Healthcare (UHC) and the American Medical Association (AMA) are proposing to develop 23 new ICD-10-CM diagnosis codes that address social barriers to care? ... Developed by UHC and endorsed by the AMA, they

JAK inhibitors battle in the heavyweight class

By Warren R. Heymann, MD, FAAD Nov. 12, 2025 Vol. 7, No. 45 Editor’s Note: A modified version of this commentary appeared as "A Clinician’s Perspective" in JAAD ... . JAK inhibitors (JAKi) have catapulted to such prominence in dermatologic therapeutics that I could write a weekly commentary about them.

Fire ant stings: From pain to gain — The therapeutic potential of solenopsin

By Warren R. Heymann, MD, FAAD July 3, 2024 Vol. 6, No. 27 Fire ant stings are nasty. Lesions usually occur on the lower extremities after the disruption of a nest, causing a large number of ants to swarm and attack. The most common presentation is a wheal and flare

Dupilumab’s growing pains

By Warren R. Heymann, MD January 8, 2020 Vol. 2, No. 1 Dupilumab has been a valuable addition to dermatologists’ therapeutic palette in managing atopic dermatitis (AD). The biologic agent was released in 2017, indicated for moderate to severe AD, and is now approved for patients who are at least

Selectivity and the choice of beta-blockers for infantile hemangiomas

By Warren R. Heymann, MD Sept. 11, 2017 Clinical evolution of an infantile ulcerated hemangioma on upper lip of patient 7. Clinical appearance: Before starting propranolol (A); after 12 months of follow-up (3 months of treatment) (B). ... Credit: ... JAAD Has there ever been a more radical change in

August

Issue ... August January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... As I write this, 2020 is half over What's hot ... This month's news from across the specialty Clinical Applications ... Should margin status

February 8, 2023

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Feb. 8, 2023 ... A review of newer agents for alopecia areata DermWorld Insights and Inquiries : A surgeon’s primary intention is to reduce secondary infection CDC investigating possibility of treatment-resistant

AAD | Best Practices for Prior Authorization

Top strategies for prior authorization ... 1. The process of prior authorizations can be painful. Accept that it will take time. ... 2. Assign a dedicated staff member (such as a medical assistant) to handle prior authorization requests, so as a dermatologist, you have more time with patients and more

Earning a seat on the CPT Editorial Panel

Ask the Expert ... By Richard Nelson, Editor, January 1, 2025 DermWorld ... interviews Scott A. B. Collins, MD, FAAD, FACMS, who represented dermatology at the AMA Relative Value Scale Update Committee (RUC) from 2006 until recently, about his appointment for a four-year term on the CPT ® ... Editorial

Scratching under the surface: The Temple Itch Center experience

By Warren R. Heymann, MD Sept. 22, 2016 Nothing raises more questions than the development of a database. Nothing needs a database more than the study of chronic pruritus. Mollanazar et al reviewed their data from the Temple Itch Center in Philadelphia, encompassing 920 visits by 597 patients, in the

This month’s news from across the specialty

What’s hot ... August 1, 2022 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD You have likely noticed an increase in online reviews of yourself and your practice over the last

Pregnant with possibility: Rituximab prophylaxis for pemphigoid gestationis

By Warren R. Heymann, MD April 26, 2018 ... Pemphigoid gestationis in 34-year-old primigravida at 28 weeks gestation. A, Urticated erythema with multiple tense blisters on both thighs. B, Histopathologic findings reveal subepidermal blister formation with abundant eosinophils, accompanied by superficial and middermal perivascular lymphohistiocytic infiltrate. (Hematoxylin-eosin stain; original magnification:

AADA successfully advocates for new malignant neoplasm diagnostic code

The AADA advocated for you and got a new diagnostic code for reporting follow-up encounters for patients with malignant neoplasms. It can be used to indicate a diagnosis for reimbursement purposes. The approved ICD-10-CM code Z08 allows dermatologists to report primary diagnosis and proper history of malignant neoplasm treated for

Building a climate-smart practice

Answers in Practice ... By Emily Margosian, Senior Editor, September 1, 2025 DermWorld ... talks to Eva Parker, MD, DTMH, FAAD, about tips for building a sustainable, climate-smart practice. DermWorld: Tell us about your practice. Dr. Parker: I am an academic dermatologist, and I practice at Vanderbilt University Medical Center

2021 DW Insights and Inquiries archive

Explore ... DermWorld Insights and Inquiries articles by publication date. ... December ... Dec. 29 - 2021: Best of DermWorld Insights and Inquiries Dec. 22 - DWI&I Holiday Greeting 2021 Dec. 15 - Speculating on spicules: Our incomplete knowledge of trichodysplasia spinulosa Dec. 8 - Propranolol and neutrophilic dermatoses: Can

2018: Merit-based Incentive Payment System (MIPS)

Eligibility: Physicians, PAs, NPs, Clinical Nurse Specialists, and Certified Nurse Anesthetists who billed ≥ $90,000 in Medicare Part B allowed charges and saw more than 200 Medicare Part B patients ... Reporting year: January 1st, 2018 – December 31st, 2018 ... Data completeness: At least 60% of All Payer Data

This month's news from across the specialty

What's hot ... March 1, 2021 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS The American Journal of Public Health published a series of analyses on wasteful spending in United States health

What's hot?

What's hot ... July 24, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... The first human retrovirus, identified in 1980, was not HIV, but human T-cell lymphotrophic virus-1 (HTLV-1). It

Vasculitis on the run

By Warren R. Heymann, MD, FAAD July 10, 2024 Vol. 6, No. 28 I am not a runner, but I live vicariously through my residents who are. This weekend, our first-year resident, Erika Tvedten, will run the Philadelphia marathon for the first time. I have been intrigued (and impressed!) by

September 8, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Sept. 8, 2021 ... A review of spironolactone for androgenetic alopecia DermWorld Insights and Inquiries : Alarming but benign – The enigma of acute hemorrhagic edema of infancy What are the

Reflectance confocal microscopy, driverless cars, and Uber: The future of dermatopathology

By Warren R. Heymann, MD ... Sept. 12, 2016 ... In a matter of days, you will be able to use Uber to hail a driverless car to your destination in Pittsburgh. During these trials, initially there will be a human monitor (1). You know where this is going

Navigating drug shortages and more: Strategies and solutions

Answers in Practice ... By Olivia Barry, Manager, Practice Management, February 1, 2024 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff explains how to navigate drugs shortages and more. Prescription drug shortages are a persistent and complex challenge across dermatology. What is the

Two new skin healthy issues put information directly into patients’ hands

Winter, summer editions were full of useful tips. ... Since the last update, the Academy published two new issues of ... skin healthy magazine. ... skin healthy provides expert editorial content on common conditions affecting the skin, hair, and nails, and up-to-date recommendations on keeping skin healthy year-round. ... skin

Softening the blow of calcinosis cutis: The promise of intralesional sodium thiosulfate

By Warren R. Heymann, MD Oct. 12, 2017 ... Calcinosis cutis and pseudoxanthoma elasticum of central abdomen. Firm, erythematous nodules with focal areas of yellow chalky material centrally. ... Credit: ... JAAD I’m not sure what’s harder about calcinosis cutis (CC), the lesion itself or treating it. ... Calcinosis cutis

2026 AAD Innovation Academy: Childcare

Balance learning and family time in New York ... Childcare ... We are pleased to offer childcare services at 2026 AAD Innovation Academy in New York this summer. Our childcare service offers a safe and entertaining environment for children ages 6 months to 12 years. ... In partnership with KiddieCorp,

2026 AAD Innovation Academy: Policies and cancellations

Hotel guarantee, cancellation, and change policies ... Hotel reservation guarantee policy ... Reservations must be guaranteed with a credit card. The credit card expiration date must be later than July 31, 2026. The card provided will be charged a one (1) night’s room and current sales tax deposit on or

What's hot?

What's hot ... May 31, 2019 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Edward W. Cowen, MD, MHSc ... There are several FDA-approved options available for field therapy for the treatment of multiple actinic keratoses, including

On the shelf

Go to AAD Home ... Go to AAD Home ... Menu ... What is keeping biosimilars out of reach and when will they be available? ... What is keeping biosimilars out of reach and when will they be available? ... By Allison Evans, assistant managing editor Over the last few

What are keratoacanthomatous lesions of the legs in mature women?

By Warren R. Heymann, MD Dec. 11, 2017 ... Right thigh, keratoacanthomatous atypical squamous proliferation. (Hematoxylin-eosin stain; original magnification: ×10.) ... Credit: ... JAAD I have an increasing number of patients asking me questions about proliferating keratoacanthoma-like lesions on their shins. "Why am I getting these? Are they cancer? Why

Scarred by dogma: Revising recommendations for surgery and isotretinoin use

By Warren R. Heymann, MD Aug. 22, 2017 Severe acne. ... Credit: American Academy of Dermatology teaching slide ... I have had the privilege of prescribing isotretinoin since its release in 1982. Is there any other dermatologic medication that has benefited our patients so greatly? I’ve weathered every isotretinoin controversy

What dermatologists need to know about ongoing telehealth policies in 2025

Implications for dermatology practices and the need for enhanced compliance ... Answers in Practice ... By Oliva Barry, Manager, Practice Management, February 1, 2025 Each month, DermWorld ... tackles issues "in practice" for dermatologists. This month, practice management staff discuss important telehealth updates in 2025. Teledermatology saw a significant surge

Documenting encounters when you suspect trafficking

The ICD-10 was the first edition to publish diagnostic codes for suspected and known human trafficking, including commercial sexual exploitation. On December 5, 2019, HEAL Trafficking and the International Center for Missing and Exploited Children convened national experts to develop draft guidelines and training requirements to inform the safe and

I attended AAD VMX. How do I claim my CME credits?

Asked and Answered ... May 1, 2021 CME credits can be claimed within the ... AAD VMX platform . ... Attendees can claim CME credits immediately after viewing a session or at a later date, but please note — on demand access to VMX will end on July 12, 2021.

Disclosure standards

The AAD provides CME to members through its accreditation by the Accreditation Council for Continuing Medical Education, and follows ACCME standards for disclosures of outside interests by those who prepare or present educational material. ACCME updated its Standards for Commercial Support in 2021 and renamed them the " ... Standards

2026 AAD Innovation Academy: Registration fees

Registration fees ... The chart below details the registration fees for the 2026 Innovation Academy. ... Important note ... Please verify that your registration category is correct before completion of your registration. If a category adjustment is required, a $100 category adjustment fee will be applied. ... REGISTRATION CATEGORY ...

APACHE no more

By Warren R. Heymann, MD Dec. 4, 2017 ... A, Dark red, linear plaque on posterior area of right lower leg. B, Slightly raised, scaly, undulating lesion measuring 50 × 12 mm. ... Credit: ... JAAD This commentary is about being DC (Dermatologically Correct), not PC (Politically Correct as in

Minimizing the risk of medical malpractice liability related to COVID-19 public health emergency

Legally Speaking ... Robert M. Portman, JD, MPP, is a health care attorney with Powers Pyles Sutter & Verville, in Washington, D.C. ... By Megan La Suer, JD, MHA, and Rob Portman, JD, MPP, August 1, 2020 Every month, Dermatology World ... covers legal issues in "Legally Speaking." This month’s

What's coming down the psoriasis pipeline?

Experts break down emerging treatment options and what they can offer patients and physicians ... Feature ... By Emily Margosian, assistant editor, August 1, 2021 While a permanent, perfect solution for psoriasis remains elusive, treatment advances over the past decade have helped dermatologists and their patients get one step closer

State advocacy win: Step therapy reform enacted in Alaska

A step therapy and prior authorization reform ... bill enacted in Alaska will require insurers to establish a streamlined prior authorization process that minimizes administrative burdens on physicians. The legislation provided a clear and convenient process for requesting exceptions to step therapy protocols and conditions for automatic approval of step

What’s new and what can I expect from the 2025 Annual Meeting?

Asked and Answered ... December 1, 2024 Get ready to register for a magical experience in Orlando, Florida! ... 2025 AAD Annual Meeting attendees can expect some exciting new offerings alongside the top-tier education you expect from the AAD. ... What’s new ... Opening Ceremony, Friday, March 7 from 5:00

When life gives you lemons

From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, March 1, 2021 The last 12 months have been, inarguably, pretty sour. When I first assumed the office of Academy President we were embarking on a frightening journey into

AAD: Laying the foundation

Facts at your Fingertips ... By Emily Margosian, assistant editor, February 1, 2019 2018 was quite the year, and over the past 12 months the Academy has continued to work hard for the dermatology specialty. Representing more than 20,000 physicians across the United States and abroad, the Academy has worked

An acne vaccine to make patients happy CAMPers?

By Warren R. Heymann, MD Nov. 12, 2018 When walking back to my office after receiving my flu shot, I thought about how wonderful it be to have a preventive therapy for common dermatologic disorders such as acne. That may not be so far-fetched. ... Acne vulgaris (referred to as

Melanoma in situ: The power of one (centimeter)?

By Warren R. Heymann, MD Sept. 10, 2016 I remember Marie. She was a delightful elderly woman whom I would see for routine follow-up following an excision of her melanoma in situ (MIS) from her right arm. I will never forget my astonishment upon feeling the large lymph node in

Key messages to communicate about Indoor tanning

Key messages ... Using indoor tanning beds can increase your risk of skin cancer, including melanoma, the deadliest form of skin cancer. (1-15) ... Using tanning beds before age 20 can increase your chances of developing melanoma by 47%, and the risk increases with each use. (16) ... Women younger

Decomplexing plexiform neurofibromas

By Warren R. Heymann, MD Dec. 29, 2016 Plexiform neurofibromas (PNs) are some of the most disfiguring and therapeutically challenging lesions that dermatologists confront. PNs are mostly associated with autosomal dominant neurofibromatosis type 1. Rarely, they may also be seen in germline p16 mutation-positive heritable melanoma and Cowden syndrome. Diffuse

Melanoma: Appropriate Surgical Margins — QCDR measure AAD 12

Melanoma: Appropriate Surgical Margins ... DESCRIPTION: Percentage of primary excisional surgeries for melanoma or melanoma in situ with Breslow depth and appropriate surgical margins per the National Comprehensive Cancer Network Clinical Practice Guidelines in Oncology-Melanoma (NCCN Guideline). ...  ... MEASURE ID:  ... AAD12 ...  ... Type: Intermediate

American Academy of Dermatology issues updated guidelines for the management of atopic dermatitis in adults with topical therapies

Both well-established and newer topical treatments addressed ROSEMONT, Ill. (January 11, 2023) — Often called eczema or atopic eczema, atopic dermatitis is a common skin condition, affecting 1 in 10 Americans. Although atopic dermatitis occurs most frequently in children, it also affects adults and can have a significant impact on

Closing the Referral Loop: Receipt of Specialist Report — Measure 374

Closing the Referral Loop: Receipt of Specialist Report ... DESCRIPTION: The percentage of patients with referrals during the reporting period whose referring physician received a report back from the other physician. ...  ... MEASURE ID:  ... 374 ...  ... Type: Process ...  ... CMS Derm Specialty

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis — QCDR measure AAD15

Psoriasis: Appropriate Assessment & Treatment of Severe Psoriasis ... DESCRIPTION: Percentage of patients with a diagnosis of severe psoriasis without a documented Body Surface Area (BSA) or a documented BSA greater than 10% for whom phototherapy or an oral systemic or biologic medication was prescribed. ...  ... MEASURE ID:

October 17

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 17, 2018 ... CMS to conduct new survey on post-op visits in global surgical codes Are you smarter than DataDerm™? ICD-10 updates impact several MIPS quality measures CMS to waive

Test your coding knowledge

ICD-10 quizzes Surgical and procedure code quizzes Code like a pro ... Find everything your practice needs to code with confidence. Purchase complete code sets and webinar training for the team in the AAD Store. ... Shop now Modifier quizzes The Medical Record: Let’s Practice ... In these scenarios, are

Dermatologic FOMO and suggested remedies

By Warren R. Heymann, MD Dec. 10, 2016 "The main problem of the future will be deciding what to do with your newly found leisure time that these inventions will allow." I heard (and believed) this as a 9-year-old boy visiting the General Electric Pavillion exhibiting Disney’s "Carousel of Progress"

Screening for Social Drivers of Health — Measure 487

Screening for Social Drivers of Health ... DESCRIPTION: Percent of patients 18 years and older screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety. ...  ... MEASURE ID:  ... 487 ...  ... Type: Process ...  ... CMS Derm Specialty Set:  ...

Voriconazole prophylaxis mandates cutaneous prophylaxis – and communication

By Warren R. Heymann, MD Sept. 28, 2017 The utilization of allogeneic hematopoietic stem cell transplantation (HSCT) has been increasing dramatically. According to the Health Resources and Services Administration, 92,784 procedures were performed between 2010 and 2014. ... Invasive fungal infections (IFIs) following allogeneic hematopoietic stem cell transplantation HSCT remain

Advocacy Update Jan 27, 2026

IN THIS ISSUE / Jan. 27, 2026 AADA and leading clinical registry group demand Medicare quality reporting relief Dermatologists urged New Hampshire to support children’s sunscreen access in schools Support dermatology champions through SkinPAC Medicare Physician Payment Reform AADA and leading clinical registry group demand Medicare quality reporting relief ...

23andDermatology

Go to AAD Home ... Go to AAD Home ... Menu ... What are the dermatologic implications of direct-to-consumer DNA tests? ... What are the dermatologic implications of direct-to-consumer DNA tests? ... By Emily Margosian, assistant editor Spit, swab, drop DNA in the mail. Since genetic tests were first offered

Up and down.

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, FAAD, December 1, 2023 Such has been the tenor of 2023. We have seen deeply troubling events in the past 12 months, with a growing distrust of "others" at the heart of

This month’s news from across the specialty

What’s hot ... January 1, 2026 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Jason Lee, MD, FAAD The incidence of melanoma in situ (MIS) has risen sharply in the U.S., surpassing invasive melanoma in 2025 ( ...

A change of tack

The evolution of clinical trials reflects a growing focus on efficiency, safety ... Feature ... By Victoria Houghton, assistant managing editor, July 1, 2016 During the mid-eighteenth century, sailors from all over Europe were dying at sea in droves. However, these shipmen weren’t succumbing to warfare, but rather, scurvy. James

Is there a best approach to widespread actinic keratoses?

By Deirdre Connolly, MD and Naomi Lawrence, MD April 10, 2019 Vol. 1, No. 5 Journal of the American Academy of Dermatology Volume 72, Issue 2, Pages e57-e59 (February 2015) ... Widespread actinic keratoses (AKs) are problematic to both patients and physicians, not only because of their pre-cancerous nature, but

Melanoma Reporting — Measure 397

Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ...  ... MEASURE ID:  ... 397 ...  ... Type: Process

Melanoma Reporting — Measure 397

Melanoma Reporting ... DESCRIPTION: The number of pathology reports for primary malignant cutaneous melanoma that include the pT category, thickness, ulceration, mitotic rate, peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors. ...  ... MEASURE ID:  ... 397 ...  ... Type: Process

Pseudomolluscoid papules: A more accurate description than pseudoverrucous papules

By Warren R. Heymann, MD April 28, 2016 When patients ask me how I made their diagnosis so quickly, I politely tell them that if any particular lesion takes more than 25 milliseconds to diagnose, they really do have a problem. ... Today I saw a patient that made me

Advocacy Update Nov 18, 2025

IN THIS ISSUE / Nov. 18, 2025 Government shutdown ends with a bill including sunscreen and telehealth policies AADA fights physician assistant independent practice bill in Wisconsin Get Involved: Become an AADA Advocacy Key Contact Support SkinPAC Federal Advocacy Government shutdown ends with a bill including sunscreen and telehealth policies

Modifiers 58 and 78

Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, March 1, 2019 Test your knowledge: Modifiers 58 and 78 ... Take the quiz to see if you're up

Embrace your appearance!

Medical student Casey Paul Schukow helps teach local summer camp kids how to appreciate their skin. Casey's story ... Casey Schukow is currently a fourth-year medical student at Michigan State University College of Osteopathic Medicine (MSUCOM). ... "I learned about the dermis today," one of the campers stated after a

Taking it on the shin: Part two

By Warren R. Heymann, MD, FAAD June 7, 2023 Vol. 5, No. 23 Last week ... pretibial pruritic papular dermatitis was reviewed as an underrecognized entity on the shins. Today the focus is on obesity-associated lymphedematous mucinosis (OALM), another disorder that you have likely seen, but perhaps did not recognize.

Psoriasis: Clinical Response to Systemic Medications — Measure 410

Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ...  ... MEASURE ID:  ... 410 ...  ... Type: Intermediate outcome ...  ... CMS Derm Specialty Set:  ... Yes

Adult Immunization Status — Measure 493

Adult Immunization Status ... DESCRIPTION: Percentage of patients 19 years of age and older who are up-to-date on recommended routine vaccines for influenza; tetanus and diphtheria (Td) or tetanus, diphtheria and acellular pertussis (Tdap); zoster; and pneumococcal. ...  ... MEASURE ID:  ... 493 ...  ... Type: Process

Atrophic tinea versicolor: Knowledge about its pathogenesis is hypertrophying

By Warren R. Heymann, MD April 12, 2017 In the entry "Atrophic Tinea Versicolor: More Than a Mirage" (April 22, 2016), I learned that the atrophic appearance of some cases of tinea versicolor is not just an optical illusion. The case of a 35-year-old man with depressed brown lesions on

How to make melasma less noticeable

Tips from a board-certified dermatologist ROSEMONT, Ill. (Sept. 12, 2023) — Melasma is a skin condition that causes patches or freckle-like spots on the face that are darker than a person’s natural skin color. Melasma has many causes, including sun exposure, pregnancy, stress, a medical condition, or taking certain medications,

The 2020 vision for nemolizumab in atopic dermatitis

By Warren R. Heymann, MD March 11, 2020 Vol. 2, No. 10 Over the past decade, I have noticed an inversion of the ratio of patients with severe psoriasis versus atopic dermatitis (AD) in my practice. The biologic revolution has clearly favored those afflicted with psoriasis; although dupilumab has improved

Challenges ebb and flow, but our “why” remains the same

From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, March 1, 2023 Serving as your Academy President these last 12 months has been a journey filled with opportunities and challenges. While it has been a test of

Psoriasis: Clinical Response to Systemic Medications — Measure 410

Psoriasis: Clinical Response to Systemic Medications ... DESCRIPTION: The percentage of psoriasis vulgaris patients receiving systemic medication who meet minimal physician- or patient-reported disease activity levels. ...  ... MEASURE ID:  ... 410 ...  ... Type: Outcome ...  ... CMS Derm Specialty Set:  ... Yes ...

Tinea gone wild: The emergence of Trichophyton indotineae as a global phenomenon

By Warren R. Heymann, MD, FAAD May 24, 2023 Vol. 5, No. 21 "Well, Jane, it just goes to show you, it’s always something — if it’s not one thing, it’s another." – Gilda Radner (as Roseanne Roseannadanna) to Jane Curtin, ... Saturday Night Live Just as I quietly celebrated

It takes more than a day

From the President ... Dr. Kaufmann served as Academy president from March 2022 to March 2023. ... By Mark Kaufmann, MD, FAAD, February 1, 2023 It’s the start of a new year and naturally, I find myself reflecting on the ups and downs of the last 12 months. There were

Advocating on behalf of dermatology is an enduring obligation

From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, December 1, 2019 The year is winding down, and as usual I find myself reminiscing about the last 12 months — thinking about all of the patients I

Dermatologists warn people about the reliability of online symptom checkers

Research shows that online symptom checkers inaccurately diagnose skin rashes ROSEMONT, Ill. (October 12, 2022) — Thanks to the internet, we have the world at our fingertips, and with just a few clicks, we can easily enter our medical symptoms into websites and apps to self-diagnose illnesses. However, a new

2024 MIPS and telehealth highlights

Eligibility criteria ... The low volume threshold remains the same as in 2023 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month segments

Time for a Churchillian approach to idiopathic guttate hypomelanosis?

By Warren R. Heymann, MD Jan. 22, 2018 Limbs of patient with idiopathic guttate hypomelanosis lesions. ... Credit: ... JAAD I was only 10 years old when Winston Churchill died, but even as a child I was aware of his inspirational abilities. I was reminded his gift watching Gary

Viva ex vivo dermoscopy?

By Warren R. Heymann, MD March 12, 2017 Evaluation of dermoscopic features on a formalin-fixed specimen (ex vivo dermoscopy) using a smartphone attached to a dermoscope. ... Credit: ... JAAD It has been said that the best "special stain" is a deeper section — wise words indeed. While always gratifying

2026 MIPS and telehealth highlights

Eligibility criteria ... The low volume threshold remains the same as in 2026 and includes 3 aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month

Autoimmune blistering diseases associated with renal disease: With some hesitancy, reports are beginning to flow

By Warren R. Heymann, MD Sept. 12, 2018 Cryoglobulinemic glomerulonephritis. Patient 3: kidney biopsy found membranoproliferative glomerulonephritis with cryoglobin plugs/hyaline thrombi (arrows), suggestive of cryoglobulinemic glomerulonephritis. (Hematoxylin-eosin stain; original magnification: ×60.) ... Credit: ... JAAD Admittedly, other than monitoring blistering disease patients treated with systemic immunosuppressants, I have not thought

Develop a nose for suspecting angiosarcoma

Angiosarcoma histopathology. Anastomosing dilated vessels, lined by crowded endothelial cells, extend between pre-existing collagen bundles. (Hematoxylin-eosin-saffron stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Nov. 12, 2018 Occasionally I read an article that disturbs me, because I know that I would miss the diagnosis, with

2025 MIPS and telehealth highlights

Eligibility criteria ... The low volume threshold remains the same as in 2025 and includes three aspects of covered professional services: ... Allowed charges ... Number of Medicare patients who receive services ... Number of services provided ... You must participate in MIPS (unless otherwise exempt) if, in both 12-month

Despite economic uncertainty, demand for minimally invasive cosmetic procedures rises among Gen X and Millennials

Facts at your Fingertips ... By Emily Margosian, Senior Editor, September 1, 2025 New data released by the American Society of Plastic Surgeons (ASPS) show a consistent demand for cosmetic procedures, with a growing preference for minimally invasive options. ... 2023 ASPS data highlight a 5% increase from 2022 in

It has been an incredible journey.

From the President ... Dr. Hruza served as Academy president from March 2019 to March 2020. ... By George Hruza, MD, MBA, March 1, 2020 It boggles the mind how quickly 12 months can pass. As I sit here thinking back on the past year serving as your Academy president,

Looking beyond ‘Ozempic face’

Dermatologists weigh in on cutaneous side effects of GLP-1 agonists. ... Feature ... By Emily Margosian, Senior Editor, November 1, 2025 Glucagon-like-peptide-1 (GLP-1) agonists are an emerging class of medications used to manage type 2 diabetes mellitus (T2DM) and weight loss, with demonstrated efficacy in reducing hemoglobin A1c levels, body

This month’s news from across the specialty

What’s hot ... February 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MS, MPH, FAAD ChatGPT is a readily accessible and widely available artificial intelligence tool mainly used by physicians for administrative

July 6, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / July 6, 2022 ... Long-term recurrence rates of actinic keratoses DermWorld Insights and Inquiries : Isotretinoin and diabetes — Of familiarity and surprise What physicians should know about monkeypox Anti-PD-1 therapy

Biopsy: Reporting Time - Clinician to Patient — QCDR measure AAD 6

Skin Cancer: Biopsy Reporting Time — Clinician to Patient ... DESCRIPTION: The percentage of patients with skin biopsy specimens with a diagnosis of cutaneous basal, squamous cell carcinoma, or melanoma (including in situ disease), or primary cutaneous malignancies who are notified of their final biopsy pathology findings within less than

This month’s news from across the specialty

What’s hot ... January 1, 2023 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD In October’s ... Dialogues in Dermatology , Dr. Scott Elman, double board-certified internist and dermatologist, discusses important "new medications

Advocacy Update Feb. 18 2025

IN THIS ISSUE / Feb. 18, 2025 AADA, house of medicine demand reversal of Medicare cut and provide a pay boost AADA highlights need for Medicare physician payment reform at House Committee on Ways and Means hearing Dermatology addresses new CLIA requirements for lab directors Legislators reject pharmacists’ effort to

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon

By Warren R. Heymann, MD, FAAD Aug. 17, 2022 Vol. 4, No. 33 Disfigurement due to scars and dyspigmentation complicating discoid lupus erythematosus (DLE) can be devastating. The cornerstones of therapy for cutaneous lupus erythematosus (CLE) are steroids (topical, intralesional, systemic) and antimalarials (hydroxychloroquine, chloroquine, quinacrine). Secondary agents include immunosuppressive

March 11, 2026

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / March 11, 2026 ... Does home-use low-level laser therapy improve androgenetic alopecia? DermWorld What’s Hot: Is an oral IL-23 inhibitor on the way for psoriasis? Safety of the use of concomitant

The profound dermatological manifestations of COVID-19: Part II

By Warren R. Heymann, MD March 25, 2020 Vol. 2, No. 12 Disclaimers: This commentary was written on March 17, 2020 for a publication date of March 25, 2020. The issues related to the COVID-19 pandemic are changing like lightning. The content included in this commentary may no longer be

Twenty-first century pellagra

By Warren R. Heymann, MD, FAAD Sept. 10, 2025 Vol. 7, No. 36 With obesity (defined as a body mass index > 30) affecting more than 40% of the adult population of the United States (1), it is difficult to fathom that nutritional deficiencies still exist. Kiani et al. expertly

A new spin

Go to AAD Home ... Go to AAD Home ... Menu ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... Examining the theory behind the use of platelet rich plasma for dermatologic procedures ... By Victoria Houghton, assistant managing editor Professional football players, world-renowned

Lipschütz ulcers: Not only for women

By Warren R. Heymann, MD March 24, 2021 Vol. 3, No. 12 Superstar dermatologists do not throw softball questions to presenters at the Annual Meeting of the American Academy of Dermatology. A few years ago, following my presentation on the cutaneous manifestations of Epstein-Barr infection, Dr. Jeffrey Callen, one of

The profound dermatological manifestations of COVID-19: Part VII — Who was that masked man?

By Warren R. Heymann, MD Sept. 23, 2020 Vol. 2, No. 38 Disclaimers: This commentary was written on Sept. 12, 2020 for a publication date of Sept. 23, 2020. The issues related to the COVID-19 pandemic are changing rapidly. The content included in this commentary may no longer be factual

Academy physician leaders meet with federal legislators

On June 4, AADA physician leaders met with legislators in Washington, D.C., as part of the House Call on the Mall fundraiser hosted by the National Republican Congressional Committee and Rep. John Joyce, MD, FAAD (R-PA). During the event, AADA leaders reiterated the importance of Medicare physician payment reform. ...

e-Prescribing Objective

Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ...  ... MAXIMUM POINTS 10 points ...  ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR  ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...

e-Prescribing Objective

Measure: e-Prescribing (PI_EP_1) ... DESCRIPTION At least one permissible prescription written by the MIPS eligible clinician is transmitted electronically using CEHRT. ...  ... MAXIMUM POINTS 10 points ...  ... REPORTING REQUIREMENTS NUMERATOR/DENOMINATOR  ... NUMERATOR: Number of prescriptions in the denominator generated and transmitted electronically using CEHRT. ...

Caring for patients with disabilities

Go to AAD Home ... Go to AAD Home ... Menu ... How to stay compliant with ADA guidelines while treating patients with disabilities ... How to stay compliant with ADA guidelines while treating patients with disabilities ... By Emily Margosian, assistant editor In July 2020, the Americans with Disabilities

ECHO on the front lines of COVID-19

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... Karen Edison, MD, senior medical director for the Missouri Telehealth Network & Show-Me ECHO, discusses the use of the Extension for Community Healthcare Outcomes (ECHO) Project during the COVID-19 pandemic. DW Weekly : Just for

Key messages about rosacea for social media

Key messages ... Rosacea is a common skin condition that mainly affects the face. You may see flushing, lasting color (red, violet, or brown), acne-like breakouts, or visible blood vessels. Some people develop irritated eyes or thickening skin. (1,2) ... Although there is no cure for rosacea, proper treatment can

These codes are no secret

Coding may be challenging; it’s no secret. Members have always needed assistance with the ever-changing landscape of coding and modifiers, but we have what you need. ... Within our Coding Resource Center pages, there is a trove of relevant information that we continually update for you, including an ... introductory

Eosinophilic pustular folliculitis: Six decades of progress

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, March 1, 2026 Vol. 8, No. 3 Eosinophilic pustular folliculitis (EPF) is a quizzical disorder. In 1965, Ise and Ofuji described the case of a 42-year-old woman who "repeatedly developed crops of small pustules on the face, the trunk,

June 27

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JUNE 27, 2018 ... FDA does not approve topical psoriasis treatment Medicare to limit reimbursement for aminolevulinic acid HCI, 10% Senators urge FDA to examine drug shortages Sen. Schumer works to

Senile gluteal dermatosis: The term “senile” is getting old and should be retired

By Warren R. Heymann, MD, FAAD Jan. 24, 2024 Vol. 6, No. 4 As my patients and I get older, inevitably I think more about geriatric dermatology. (1) There is a disorder I have seen on the gluteal region in mostly thin, older, sedentary patients — my recommendations of off-loading

Start the presses!

Go to AAD Home ... Go to AAD Home ... Menu ... Experts offer advice on how to successfully manage media relations ... Experts offer advice on how to successfully manage media relations ... By Victoria Houghton, assistant managing editor When Anne Chapas, MD, arrived in New York City and

The treatment of systemic juvenile xanthogranulomas matures

By Warren R. Heymann, MD, FAAD Jan. 8, 2025 Vol. 7, No. 1 Diagnosing juvenile xanthogranulomas (JXG) is simultaneously satisfying and slightly disconcerting. JXG’s clinical yellow appearance, the "setting sun" on dermoscopy, or the recognition of Touton giant cells histologically allows dermatologists to be reasonably confident of the diagnosis. It

Springtime is tick time

By Warren R. Heymann, MD April 27, 2017 Petechial eruption on palm of child with Rocky Mountain spotted fever. ... Credit: ... JAAD Oh, the majesty of spring’s rejuvenation — a bloom’s aroma, opening day’s first pitch, and romance in the air. For dermatologists, no one will write a

Practice administrators: Behind the scenes

Facts at your fingertips ... By Emily Margosian, assistant editor, December 1, 2020 In 2020, dermatology is solidly a team effort. The specialty’s move toward larger group settings has been well-documented — currently more than half of dermatologists are in group practice, with as many as seven in 10 dermatologists

I have several practice management questions about coding, MIPS, and DataDerm. How can I get help?

Asked and Answered ... August 1, 2020 The Academy offers up-to-date, practical guidance from staff experts in the following areas: ... Coding ... Visit the ... Coding Resource Center at www.aad.org/member/practice/coding for practical tips, tools, quizzes, and videos about common dermatologic coding issues. Members can access guidance on: ... Biopsies

AAD bolsters information about darker skin tones

New and updated content on AAD.org reflects our commitment to providing information for patients of all skin tones. ... The Academy launched a ... Darker Skin Tones resource center in 2022, which included updates on 11 conditions that affect people with darker skin tones more frequently or more severely. It

Topical isotretinoin for ichthyoses: Striving for an “A” grade

By Warren R. Heymann, MD, FAAD Nov. 20, 2024 Vol. 6, No. 47 Two meaningful events changed my life in 1982 — my marriage and the introduction of isotretinoin. Forty-two years later, both remain front and center. Attending the focus session "Think like an expert about ichthyosis" at the AAD

Diagnosis coding updates for 2026

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding and Reimbursement, November 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . The Centers for Disease Control and Prevention

AAD Prior Authorization Appeal Letter Tool

{{ steps[index] }} ... Step {{index + 1}} of {{steps.length}} ... Dermatologic disease with ICD-10 diagnosis code ... Name of drug ... Alternative treatment drug options ... For step therapy protocols, select drug/treatment the insurance company is requiring you to prescribe your patient as an alternative treatment (skip if not

Advanced Leadership Forum

Designed for physicians with 10 or more years of experience in practice, academia, or professional organizations, the Advanced Leadership Forum will strengthen leadership knowledge and skills required to lead and influence in later stages of careers and in more complex organizations and environments. ... This weekend-long program brings together physician

JAAD wins again!

JAAD has retained the #1 position as the most impactful journal in dermatology according to the 2024 Clarivate Journal Impact Factor (JIF). ... JAAD is No. 1 in the field of dermatology for the sixth year in a row, with a JIF of 11.8 and 38,702 total citations. ... But

Mohs under review

Cracking the code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 1, 2020 Test your knowledge: Mohs under review ... Take the quiz to see if you're up to

2022: Best of DermWorld Insights and Inquiries

December 29, 2022 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2022 — starting with the most popular issue of the year. ... 1. Coming full circle (almost)

Advocacy — 2021 AADA Virtual Legislative Conference

Taking your voice to D.C. ... During the second annual AADA Virtual Legislative Conference, held on Sept. 23-28, we brought some of the most vital dermatologic issues to members of Congress, and it made a difference. Notably, more than 150 of you advocated for Medicare stability and step therapy reform.

Ergonomics in dermatology

Neck, back, shoulder pain? It could be your exam table. ... Feature ... By Ruth Carol, Contributing Writer, January 1, 2025 After investing an average of 12 years of education and training, the last thing a dermatologist wants is to have their career cut short by musculoskeletal disorders (MSDs). However,

Managing menopause

Dermatologists discuss dermatologic changes before and during menopause and the dermatoses that may occur. ... Feature ... By Allison Evans, Assistant Managing Editor, December 1, 2025 Menopausal transitions can be stressful. While rapidly declining estrogen levels can wreak havoc internally, many of these changes involve the skin, hair, and vulvar

Our clinical education benefits continue to grow

We offer you the updated resources you need to stay current on clinical and quality advances that optimize patient care. ... AAD Clinical Community ... Last year, we launched the AAD Clinical Community — a free, secure forum by dermatologists for dermatologists to discuss clinical issues and more. The forum

Advocating for you — Highlighting the specialty in the nation’s capital

The messages you delivered to members of Congress in 200+ virtual meetings did not go unnoticed, and had a direct impact on legislation that affects you and your patients. ... Every year, dermatologists and patient advocates come to Washington, D.C., to advocate on the specialty’s priorities. During the second annual

2021: Best of DermWorld Insights and Inquiries

December 30, 2021 We know how much you enjoy Dr. Heymann and the editorial board’s weekly analyses of dermatologic literature, so we’ve created a list of the top 10 most popular issues in 2021 — starting with the most popular issue of the year. ... 1. Biotin supplementation for hair

2023 AAD meetings roundup

The ... AAD 2023 Annual Meeting in New Orleans in March 2023 was attended by more than ... 17,000 attendees! This included more than 8,500 medical personnel — more than 2,800 international medical personnel and more than 2,200 residents. The AAD offered more than 300 sessions (with more than 50

Capitol skin cancer prevention check and health fair | American Academy of Dermatology Association

Join us on May 21 ... The American Academy of Dermatology Association is hosting a skin cancer check and health fair. Dermatologists will conduct free skin cancer checks open to the public on a first-come, first-serve basis. ... Time: ... Thursday, May 21, 10:30 a.m.-1:30 p.m. Place: ... Rayburn Office

April

Issue ... April January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Itch What’s hot ... This month’s news from across the specialty Clinical Applications ... Strategies to improve cardiovascular disease prevention among psoriatic patients Feature

Upcoming events for Advisory Board representatives

The Advisory Board shall hold General Business Meetings biannually in conjunction with the AAD Annual and Innovation Academy Meetings. The AADA holds a yearly Legislative Conference to help tell Congress the issues Dermatologist are facing. ... Advisory Board Representatives are expected to attend these meetings. View Parliamentary Procedures at a

Meaningful benefits — Quick coding guides

So many codes, so little time ... Not sure how to code for that insect bite or sting? We’ve got you covered. Need a photodynamic therapy code right now? We have that info too. Your Academy coding staff knows how busy you are in your practice, so we’ve developed several

AADA successfully advocates for new diagnostic code

Moving the needle ... January 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. The AADA advocated for you and got a new diagnostic code for reporting follow-up encounters for patients with malignant neoplasms. The approved ICD-10-CM

April

Issue ... April January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Wow! What’s hot ... This month’s news from across the specialty Clinical Applications ... What is the carbon footprint of the typical outpatient dermatology

Educating the public – AAD online

Two years strong, AAD.org/public remains a prime, credible source for the public ... Two years after relaunching AAD.org/public, we have seen trends in content popularity and adapted our content strategy to meet the needs of the public, particularly during the ... COVID-19 pandemic . ... Resources and public content on

October

Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... It’s October already What’s hot ... This month’s news from across the specialty Clinical Applications ... What is the impact of shaving waivers on

October

Issue ... October January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... We all know. What’s hot ... This month’s news from across the specialty Clinical Applications ... How aligned are Redditor-driven recommendations with the current

Development Advocacy Grant

Three available $20,000 awards. The Development Advocacy Grant is for state societies that have an advocacy infrastructure in place, some history of advocacy experience, a clear legislative goal, motivated leaders and members, but not necessarily all the needed financial resources. ... States that qualify for this grant have received less

October 13, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Oct. 13, 2021 ... How does wearing occlusive gloves impact hand eczema? DermWorld Insights and Inquiries : What’s up in Down syndrome? Relief funds available for health care providers, including some

How to treat eczema at home

Tips from board-certified dermatologists ROSEMONT, Ill. (October 27, 2022) — Eczema, or atopic dermatitis, is a common skin condition affecting 1 in 10 Americans. Patients with eczema often experience itchy, dry, raw, and sensitive patches of skin, which greatly impacts their quality of life. As we wrap up Eczema Awareness

The autumn of a career

... But now the days grow short, I’m in the autumn of the year ... And now I think of my life as vintage wine from fine old kegs ... From the brim to the dregs, and it poured sweet and clear ... It was a very good year

American Academy of Dermatology Association statement on FDA iPLEDGE changes reducing burdens on both prescribers and patients

Statement from Susan C. Taylor, MD, FAAD, President, American Academy of Dermatology ROSEMONT, Ill. (Feb. 10, 2026) — The American Academy of Dermatology Association applauds the Food and Drug Administration for approving significant changes to the iPLEDGE Risk Evaluation and Mitigation Strategy (REMS) program. These changes will reduce substantial administrative

September

Issue ... September January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... Haven’t we all felt it? What’s hot ... This month’s news from across the specialty Clinical Applications ... What do you need to know

I need coding assistance. Where can I get help?

Asked and Answered ... October 1, 2023 Members can find practical tips, tools, quizzes, and videos about common dermatologic coding issues on aad.org in the Coding Resource Center. ... Learn more about: ... Surgical and procedure codes ... Modifiers ... Evaluation and management (E/M) codes ... ICD-10-CM diagnosis codes ...

Coding, culture, and contracts — the Academy knows all things practice management

It’s all in the coding At the end of the day, a successful practice relies on you knowing which code to use and how and when to use it. Bringing you the best information about coding keeps you on the ball. DermWorld published scores of titles on coding in 2023,

Digital media kit: DermWorld rate card

DermWorld print rates ... Download a PDF of the 2026 DermWorld print rate card. Download a PDF of the DermWorld print specifications . ... BW ... 1x ... 6x ... 12x ... 24x ... 36x ... Full page ... $3,185 ... $3,015 ... $2,760 ... $2,440 ... $2,350 ... Full

I have questions about coding for contact dermatitis. Does the Academy have any resources to help?

Asked and Answered ... March 1, 2022 Yes. The Academy offers a selection of quick coding guides covering a variety of topics, including contact dermatitis. The Contact Dermatitis Quick Coder has been recently updated to reflect new 2022 codes for irritant contact dermatitis due to contact with body fluids. ...

Codes with no mystery

It’s no secret. We know you need frequently updated information to address your questions about coding. We’ve been adding to our library of coding resources in 2023 and offered these new coding topics to our ever-expanding DermWorld Coding Consult library: ... ICD-10-CM diagnosis coding updates for 2024 Multiple surgery reduction

New coding content offers expert advice

AAD members get free access to practical tips on common coding issues. ... The Academy continues to add to its expansive list of its coding resources. ... So far in 2025, new content includes: ... CMS releases 2025 first and second quarter NCCI edits More payers implementing evaluation and management

AADA hosts 10th annual Capitol Hill Skin Cancer Check and Health Fair

Moving the needle ... By Apoorva Stull, Senior Manager, Advocacy Communications, May 1, 2024 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. On May 15, the AADA hosted its 10th annual Capitol Hill Skin Cancer Check and Health

How should I prepare for a CLIA inspection?

CLIA inspections are performed every two years if you are in a moderate- or high-complexity lab. The top 10 deficiencies found in CLIA inspections among all labs over the past several years have been: ... Director qualifications ... Test reports missing ... General systems/written policies incomplete ... Director not following

Member benefits — So many codes, so little time. Yet…

Your Academy coding staff knows how busy you are in your practice. Here’s a quick summary of what we’ve been doing to keep you ahead of the coding curve. ... Quick coding guides ... We continue to build out our series of ... downloadable quick coding guides for common (and

Mentee guidelines

Getting started with your mentor ... You should contact your mentor within two weeks of receipt of your assignment. You and your mentor should agree upon a convenient time to speak and confirm that you know how to contact each other (via email, telephone, etc.). You also should agree on

July 4

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / JULY 4, 2018 ... iPLEDGE hits a snag with patients Hawaii governor signs legislation banning sunscreen with oxybenzone and octinoxate Medicare announces new MUE limit for aminolevulinic acid HCI, 10% (Ameluz)

September

Issue ... September January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I remember the first melanoma I ever saw What's hot ... This month's news from across the specialty Clinical Applications ... Oral minoxidil: A

It’s a great time to catch a code

Coding updates and practice management remain a high priority and we’re on it! ... We know your practice relies on knowing which codes to use, and how and when to use them. ... DermWorld published more than a dozen coding titles in 2024. Some examples are listed below. Catch these

Avascular necrosis in psoriasis: Avoiding “snap” judgments

By Warren R. Heymann, MD May 8, 2017 Of all the adverse reactions of corticosteroids, there is none more terrifying than avascular necrosis (AVN, aka osteonecrosis); this usually involves the femoral head (AVN of the hip), although the shoulders and knees may be affected. It is estimated that 25,000 new

Advocacy Update Jul 1, 2025

IN THIS ISSUE / July 1, 2025 Senate advances reconciliation bill with 2026 Medicare Physician Payment increase RFK pledges to work with Rep. Joyce on Medicare physician reimbursement CMS suspends CLIA lab director restrictions AADA and DermCAC support inclusion of dermatologists in SRT Local Coverage Determinations Build a relationship with

Pathology Billing: Successfully Navigating a “Minefield”

Billing for dermatopathology can often seem like a confusing maze, leading to frustration. One of the reasons is because there is a wide variety of arrangements and options that can be used to appropriately bill for dermatopathology services. ... Failing to understand those options that work best for your dermatology

Educating our public — Educating patients through social media

Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on our @AADskin Twitter, Facebook, and Instagram platforms. ... Your patients = our followers ... Your patients are all over social media, and every day we educate nearly 300,000 individuals (and counting) on

Surviving an audit

Surviving an audit: In a nutshell ... Performing internal audits can help you catch mistakes early on, identify possible problem areas, and help avoid future errors. ... You can take steps to make sure that audits go smoothly. ... Audits can be overwhelming for several reasons. In addition to the

American Academy of Dermatology survey shows sun protection during common outdoor activities lacking

Board-certified dermatologist discusses how people can protect themselves from the sun ROSEMONT, Ill. (May 23, 2023) — Andy Jacobs spent a lot of time playing outdoor sports during his childhood, but infrequently used sun protection. Yet it came as a shock to Jacobs when his dermatologist diagnosed a spot on

Who pays the bills?

Facts at your Fingertips ... By Emily Margosian, assistant editor, March 1, 2019 While the future of American health insurance remains a question mark, data from the 2017 AAD Practice Profile Survey has helped shed light on where reimbursement trends might be headed. Although the percentage of patients with private

Survey: Americans worry about premature aging, still behind on sunscreen use

Facts at your Fingertips ... By Megan Bennett, Staff Writer, February 1, 2026 Despite concerns about premature skin aging, many Americans are still in the dark about the importance of sunscreen, according to a recent AAD survey. ... The AAD survey of 1,000 U.S. adults revealed that half worry about

March

Issue ... March January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... I called a colleague the other day to discuss a patient What's hot ... This month's news from across the specialty Clinical Applications ...

Academy secures wins with private payers

As a direct result of AADA advocacy, Regence Blue Cross Blue Shield (BCBS) rescinded its modifier 25 payment reduction policy. ... Without strong advocacy by the Academy and state dermatology and medical societies, the policy would have gone into effect on March 1, resulting in reduced payment for non-preventive E/M

From a JAK to a king of Castleman disease

By Warren R. Heymann, MD May 15, 2017 A 44-year-old Chinese woman with a 10-year history of asymptomatic cutaneous patches and plaques on her trunk (Fig 1, A) who reported intermittent fever and lymphadenopathy for 6 months. A skin biopsy specimen from a cutaneous plaque showed perivascular infiltration of plasma

More than 200 AADA members, patients ask Congress to halt Medicare payment cuts, reform step therapy

Facts at your fingertips ... By Emily Margosian, Assistant Editor, January 1, 2022 The second annual AADA Virtual Legislative Conference again saw impressive participation numbers this past September, bringing key dermatologic issues before members of Congress. Attendees included physicians, residents, select medical students, dermatology nurses, and patient advocates. ... Participating

Physicians move away from private practice

Facts at your Fingertips ... By Emily Margosian, Assistant Editor, June 1, 2024 Physicians are less likely to work in private practice than they were 10 years ago, according to new data released by the American Medical Association (AMA). Top factors driving the shift included economic, administrative, and regulatory burden.

How can I get involved with this year’s Legislative Conference?

Asked and Answered ... July 1, 2024 The 2024 AADA Legislative Conference will take place Sept. 8-10, at the JW Marriot in Washington, D.C. ... Attending the conference is as easy as 1, 2, 3. You can expect: ... Two days of networking and learning from political experts about the

Reinstate membership

To start the reinstatement process, complete all the required fields in the form below, upload the required documents, and submit. ... If you've never been a dues-paying member and are eligible, you can ... apply for full membership . Learn more about who should complete the reinstatement form below. ...

What's new in dermatology?

Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, March 1, 2022 The history of medical diagnosis traces back to ancient Egypt, where the first recorded examples can be found in the writings of Imhotep dating 2630–2611 BC. In the

Dermatomyositis takes your breath away!

By Warren R. Heymann, MD Feb. 22, 2017 Anti-MDA5–associated DM. Eroded violaceous papules and plaques covered by scale and crust over the palmar joint creases and digital tips. ... Credit: ... JAAD The dermatopulmonary syndrome (DPS) is a newly recognized subset of dermatomyositis (DM) associated with anti-MDA5 (melanoma differentiation-associated gene

Gen Z’s indifference to sun damage is heating up their risk of skin cancer

Facts at your Fingertips ... By Megan Bennett, Staff Writer, March 1, 2026 In an AAD survey of 1,000 U.S. adults, released in May 2025 in conjunction with Skin Cancer Awareness Month, half of the ... Gen Z responders reported getting sunburned in 2024 . About 10% reported having sunburns

Psoriasis cases projected to rise worldwide by 2050

Facts at your Fingertips ... By Megan Bennett, Staff Writer, May 1, 2026 The incidence of psoriasis is estimated to rise by 2050, according to an analysis published in ... JAMA Dermatology (doi: 10.1001/jamadermatol.2025.4572). ... Using data from 1990-2021 from 236 countries reported in the 2021 Global Burden of Disease

Vitiligo or vitiligo-like lesions and PD1-inhibitors: Which is right?

By Warren R. Heymann, MD June 1, 2017 The following is a well-known staple of Jewish humor. I’ve heard it thousands of times, but it always makes me smile: ... In a small town in Russia, people brought their complaints to the Rabbi to settle their differences. One man purchased

Modifier 24

Modifier 24: In a nutshell ... Used to report an E/M service performed during, but unrelated to the postoperative period of the previous procedure by the same physician. ... It’s important to know the ins and outs of this frequently used modifier. Not reporting or misusing modifier 24 can result

It’s time for your office’s annual exam!

Give your practice a checkup using the Academy management tools. ... Answers in Practice ... By Olivia Barry, Manager, Practice Management, December 1, 2022 Each month, DermWorld ... tackles issues "in practice" for dermatologists. There’s a lot to juggle to maintain a successful practice, including ensuring compliance, staying relevant with

Fighting Medicare payment cuts in 2023 and beyond

We want to help maintain stability for dermatology practices as the country faces significant economic challenges, rising costs, and continued efforts to rebuild from the COVID-19 public health emergency (PHE). We are urging Congress to take action to stop pending Medicare payment cuts that could negatively impact patients’ access to

AAD insurance

The American Academy of Dermatology in conjunction with Aon Affinity Insurance Service Inc. has seven custom-designed insurance programs to help protect your future and the future of your family. ... Choose from various insurance programs including: ... Level Term Life 1 ... Lock-in member-only group rates for a 10- or

Parsing pediatric contact allergens

Pediatric dermatologists share clues for distinguishing contact dermatitis from atopic dermatitis and discuss noteworthy allergens. ... Feature ... By Allison Evans, Assistant Managing Editor, May 1, 2023 It is a common misconception that allergic contact dermatitis (ACD) is rare in children. It’s estimated that it affects up to 20% of

How do I reinstate my membership as a Fellow or Associate member?

Asked and Answered ... October 1, 2025 To start the reinstatement process, visit ... www.aad.org/reinstate-membership . ... Please allow 7-10 business days for processing. You will be notified when the request is approved and how to process payment for the current year’s membership dues, including a $100 reinstatement fee. For

AADA prevents Medicare cuts in 2022

Moving the needle ... By Victoria Houghton, Managing Editor, May 1, 2022 DermWorld ... breaks down the latest highlights of AADA advocacy activities at the federal and state legislative and regulatory level. In 2021, the specialty was facing Medicare payment cuts of up to 10% due to the policy changes

Pityriasis rubra pilaris: Check a TSH!

By Warren R. Heymann, MD ... June 10, 2016 ... There are myriad ways to mine the data from the review of 100 cases of PRP by Ross et al, however, one key finding will change the way I will assess these patients — 20% were hypothyroid! (1) ... There

EHR use cases: Streamline operations and improve practice efficiency

Are you thinking about transitioning your paper-based practice to start using an electronic health record (EHR)? Or have you recently implemented an EHR and feeling overwhelmed with all the features? According to the American Academy of Dermatology 2020 Practice Profile Survey, 8 in 10 practices have adopted EHRs and while

Academy secures wins with private payers

The Academy works with private payers to alleviate administrative burdens for dermatologists, maintain appropriate reimbursement for furnished services, and ensure patients can access covered quality care. ... In 2025, the Academy secured wins on several payer policies: ... Modifier 25: Regence BCBS ... As a direct result of AADA advocacy,

Dermatologist job satisfaction

Facts at your Fingertips ... By Emily Margosian, assistant editor, August 1, 2019 Despite rising burnout rates among all physicians, according to the AAD 2019 Life in Practice Study, the vast majority of dermatologists still enjoy what they do. Overall, 72% — or 7 in 10 dermatologists — say they

Finding Zen in medicine

Balance in practice ... By Emily Margosian, assistant editor, May 1, 2020 "It’s something I would have never thought I’d do," recalls Adam Rotunda, MD, assistant clinical professor of dermatology at the University of California, Irvine and a Mohs surgeon in private practice, in Newport Beach, California. Several years prior,

All aboard

Answers in Practice ... By Victoria Houghton, Managing Editor, June 1, 2023 DermWorld ... talks to Vermont dermatologist Steven Shama, MD, MPH, FAAD, who recently directed a session on managing office politics at the 2023 AAD Annual Meeting, about strategies to onboard new employees. DermWorld: Tell us about your practice.

Cimetidine offers a ray of sunshine for patients With erythropoietic protoporphyria

By Warren R. Heymann, MD Nov. 16, 2016 Only once in a great while an article makes me want to break into my happy dance — the report of 3 pediatric cases of erythropoietic protoporhyria (EPP) by Tu et al had that effect. Recently, I ran a post on EPP

Susan C. Taylor, MD, FAAD, elected American Academy of Dermatology president for 2025

Rosemont, Ill. (April 10, 2023) – Philadelphia-based board-certified dermatologist Susan C. Taylor, MD, FAAD, has been elected to lead the American Academy of Dermatology. She will be installed as President-elect in March 2024 and hold the office of President for one year beginning in March 2025. ... As president, Dr.

Could a metal implant affect your skin?

Board-certified dermatologist weighs in on the role of metal allergies in medical implants NEW ORLEANS (March 17, 2023) — Millions of people in the U.S. report having a metal allergy, and current estimates state that 10 percent of Americans will receive a medical implant during their lifetime ... 1 ...

Biotin supplementation for hair and nail health: Does it pass the test?

By Warren R. Heymann, MD, FAAD November 17, 2021 Vol. 3, No. 46 When patients ask me about biotin supplementation for their hair or nails, the usual question is what dose they should take, not whether or not it has any value. High dose over-the-counter biotin supplements (≥ 5 mg/day,

Advocacy Update Oct 7, 2025

IN THIS ISSUE / Oct. 7, 2025 Government shutdown impact on Medicare claims and telehealth visits Truth in advertising win in California Support dermatology champions through SkinPAC Federal News Government shutdown impact on Medicare claims and telehealth visits ... Despite the ongoing government shutdown, Medicare will continue processing and paying

Sophie’s choice: Assessing atypical Spitz tumors in the molecular era

Atypical Spitz tumor category. Higher magnification reveals severe cytologic atypia. Although cells exhibit a spindled appearance typical of the Spitz nevus, they appear severely dysplastic with nuclear hyperchromasia and an immunogenic host response. (Hematoxylin-eosin stain; original magnification: ×40.) ... Credit: ... JAAD By Warren R. Heymann, MD Dec. 10, 2018

Rheumatoid vasculitis? Rule-out methotrexate-associated EBV

By Warren R. Heymann, MD June 19, 2016 Rheumatoid vasculitis (RV) is a serious complication of rheumatoid arthritis (RA) causing high morbidity and mortality, despite aggressive immunosuppressive treatment. The incidence appears to be decreasing, possibly due to the recognition of smoking as the most important contributory factor. Male patients with

2025 Proposed Medicare Physician Fee Schedule

Continuing cuts embolden AADA to demand Medicare payment reform ... On July 10, CMS released the 2025 Medicare Physician Fee Schedule (MPFS) proposed rule, which included important policy changes to fee-for-service payments and the Quality Payment Program (QPP). The AADA strongly opposes these cuts and demands that Congress reform the

Dermatology appointment leads to life-saving cardiac care

American Academy of Dermatology honors Dr. Christopher Bengson as national "Patient Care Hero" ROSEMONT, Ill. (November 10, 2022) — Christopher Bengson MD, MHS, FAAD, a board-certified dermatologist for the Indian Health Service in Phoenix, Ariz., and a Commander in the U.S. Public Health Service, was named an American Academy of

Anticipating Iceland: Ice-pack dermatosis

By Warren R. Heymann, MD, FAAD April 10, 2024 Vol. 6, No. 15 Iceland beckons. Many of our plans were scuttled by COVID-19, including a long-planned tour of Iceland, which (as of this writing) is exactly two months away.* My wife and I eagerly await the other-worldly topography, unpronounceable waterfalls,

When Washington, D.C., comes to you

From the President ... Dr. Thiers served as Academy president from March 2020 to March 2021. ... By Bruce Thiers, MD, November 1, 2020 If we’ve learned anything this year, it’s the importance of being flexible. For example, before COVID-19, less than 10% of our members were using telemedicine; now,

Building meaningful connections with staff

Answers in Practice ... By Emily Margosian, Assistant Editor, March 1, 2022 DermWorld ... talks to Craig Burkhart, MD, MPH, MSBS, FAAD, from Burkhart Pediatric & Adolescent Dermatology in Cary, North Carolina, about meaningful ways to connect with staff. DermWorld: Tell us about your practice. Dr. Burkhart: We only offer

This month’s news from across the specialty

What’s hot ... October 1, 2023 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Mallory Abate, MD, FAAD Chronic pruritus is burdensome for patients with chronic kidney disease (CKD) and can be incredibly difficult for dermatologists to

Digital media kit: DermWorld classified rates

Reach over 16,000 U.S. dermatologists with your recruitment ad. Classified advertising is restricted to professional opportunities available, professional opportunities wanted, practices for sale, office space available, and equipment available. ... Download a PDF of the 2026 DermWorld classified advertising rate card. Line ads (cost per line) ... 1x ... 2x

Getting a handle on hirsutism

Dermatologists discuss the latest clinical guidance for managing hirsutism ... Feature ... By Allison Evans, Assistant Managing Editor, February 1, 2022 Far from being simply protein filaments, hair can occupy a central role in a person’s identity, sense of well-being, and overall quality of life. Hirsutism — a condition in

Hemochromatosis: Beyond 50 shades of gray

By Warren R. Heymann, MD, FAAD March 6, 2024 Vol. 6, No. 10 As a medical student, I was enamored by the term "bronze diabetes" as a depiction of hemochromatosis; ever since I have been magnetically attracted to the disease. Hereditary (primary) hemochromatosis is a common autosomal-recessive disorder, with a

Key messages for social media about nails and nail health

Key messages ... Our nails often reflect our general state of health. Changes such as discoloration or thickening can signal health problems, including liver and kidney disease, heart and lung conditions, anemia, and diabetes. ... Changes in color, shape, and/or thickness, swelling of the skin around the nails, bleeding or

This month’s news from across the specialty

What’s hot ... May 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Craig Burkhart, MD, MPH, MSBS, FAAD Researchers at the University of Virginia showed that ... utilization of telemedicine by pediatric specialists in one

New Skin Biopsy Codes: It’s All About the Technique!

For 2019, the American Medical Association (AMA) CPT® Editorial Panel will introduce six new codes for primary skin biopsy—three base codes and three add-on codes codes—all of which will be effective January 1, 2019. These three new codes will replace existing codes 11100 and 11101 (skin biopsy), which will be deleted. These new codes have

For the win! Championing the use of the term “reactive granulomatous dermatitis” in clinical practice

By David A. Wetter, MD, FAAD March 8, 2023 Vol. 5, No. 10 Growing up in the 1980s in suburban St. Louis, Missouri, I spent many evenings listening to Cardinals’ baseball on the local AM radio station, KMOX 1120. After the final out of each Cardinals’ victory, the late Hall-of-Fame

How can institutions ensure that dermatology residents are competent with both light microscopy and digital pathology?

Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, May 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Carilyn Wieland, MD, FAAD, about her American Journal of Dermatopathology ... paper, ‘ Comparison of digital pathology and light microscopy among dermatology residents: A reappraisal

A Trumpian analysis of infliximab-induced follicular mucinosis: Something’s going on here

By Warren R. Heymann, MD July 10, 2016 Williams et al presented two cases of biopsy-proven facial follicular mucinosis (FM), apparently induced by infliximab, with a normal tissue CD4/CD8 ratio of 2/1 and the presence of CD7, thereby ruling out CTCL. The first case was a 23 year-old man with

Short anagen syndrome: The long and short of it

By Warren R. Heymann, MD, FAAD Feb. 7, 2024 Vol. 6, No. 6 Have you ever encountered a patient who says that their hair does not grow very much and that they rarely need to cut their hair? I have, and I suppose you have, too. Although considered uncommon, short

Scratching below the surface for the etiology of lichen amyloidosis — no sweat?

By Warren R. Heymann, MD July 10, 2017 Lichen amyloidosis reveals multiple hyperkeratotic papules on anterior leg. ... Credit: ... JAAD We have all confronted patients with maddeningly pruritic, recalcitrant cases of lichen amyloidosis (LA). Establishing the diagnosis is easier than treating the disorder; understanding its pathogenesis is even more

Teatime for radiation dermatitis (and beyond)

By Warren R. Heymann, MD, FAAD June 14, 2023 Vol. 5, No. 24 I am biased — as a coffee lover, I only believe articles demonstrating coffee’s benefits, while finding flaws in any study deriding its use. I can be more objective about tea — especially green tea — a

Pediatric dermatology toolbox

Advocacy groups and innovators provide key resources for patients and physicians — learn where to get help. ... Feature ... By Emily Margosian, Assistant Editor, February 1, 2024 Pediatric dermatology care is in demand. Studies estimate that 10-30% of pediatric primary care visits include a skin-related problem. However, historically, pediatricians

Re-excising severely atypical nevi: A signature issue?

By Warren R. Heymann, MD Feb. 10, 2017 Clark (dysplastic) nevus with atypical features. A, Low magnification demonstrates a broad compound melanocytic neoplasm with architectural asymmetry. B and C, Higher power reveals elongated rete ridges, subepidermal fibroplasia, parakeratosis, and marked variability in size and shape of melanocytes and their

To concierge or not concierge, that is the question

By Warren R. Heymann, MD June 10, 2017 After very long days of difficult patients (diagnostically, therapeutically, and otherwise), insurance denials, prior authorizations, business decisions, MACRA, et cetera, I think of the milkman Tevye from "Fiddler on the Roof," finally sitting down, and singing "If I Were a Rich Man."

American Academy of Dermatology elects new officers, board members

Rosemont, Ill. (April 10, 2023) – The American Academy of Dermatology has announced the results of its annual election. The Academy’s new officers and board members will lead the world’s largest dermatologic society, representing more than 20,800 physicians who specialize in the diagnosis and medical, surgical, and cosmetic treatment of

10 tips for surviving payer audits

Derm Coding Consult ... By Tiffany E. McFarland, RHIT, Analyst, Coding & Reimbursement, April 1, 2025 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Derm Coding Consult articles . In the complex world of health care, payer audits are an inevitable reality

There’s something for every FAAD (and their kids?) at AAD Innovation Academy

From the President ... Dr. Cronin served as Academy president from March 2023 to March 2024. ... By Terrence A. Cronin Jr., MD, FAAD, August 1, 2023 It may sound cute, but if you’re joining me at the Academy’s Innovation Academy in Tampa, Florida, on Aug. 10-13, you’ll understand what

2020 CPT Coding Updates

For 2020, the CPT code set has multiple changes. Although most of the changes do not specifically affect dermatology, there are notable changes that members need to be aware of starting on January 1, 2020. ... Non-Face-to-Face-Services: Telephone Services ... CPT code 99444 has been deleted and in its place,

So many questions. So little time.

Experts offer best practices on efficiently addressing patients’ questions about sunscreen. ... Feature ... By Andrea Niermeier, April 1, 2023 Aisles of products, numerous social media top 10 lists, and abundant information on the internet: Consumers can be quickly overwhelmed with sunscreen questions related to types, usage, and safety —

Researching therapeutic reformation of the capillary malformation: Arteriovenous Malformation Syndrome

By Warren R. Heymann, MD June 17, 2020 Vol. 2, No. 24 Small cutaneous lesions may have profound systemic implications. Astute dermatologists will recognize these lesions and assess patients accordingly, often to the surprise of referring physicians and patients alike. ... The Capillary Malformation – Arteriovenous Malformation (CM-AVM) syndrome was

This month’s news from across the specialty

What’s hot ... April 1, 2026 In this monthly column, members of the  DermWorld ... Editorial Advisory Workgroup identify exciting news from across the specialty.   Ken Katz, MD, MSc, MSCE, FAAD Immune checkpoint inhibitors (ICIs) have dramatically improved prognosis for melanoma and other cancers. Once nearly always fatal, advanced

The pachydermoperiostosis prostaglandin paradigm

By Warren R. Heymann, MD July 10, 2019 Vol. 1, No. 18 Prostaglandins were the rage when I started medical school in 1975; their role in inflammatory dermatoses was considered of paramount importance throughout my residency in the early 1980s. Hours were spent studying the transformation of arachidoinic acid to

Moving target

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ... Dermatologists have good options for treating actinic keratosis, but price fluctuations make picking the highest value option difficult ...

Sunscreens on trial

Go to AAD Home ... Go to AAD Home ... Menu ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... Dermatologists discuss the debate about the effects of sunscreen ingredients on the environment ... By Victoria Houghton, managing editor Over the last 10 years,

Nailing down the treatment for ungual melanoma in situ

By Adam Rubin, MD April 21, 2021 Vol. 3, No. 16 In the recent ... Dermatologic Surgery manuscript "Nail Unit Melanoma In Situ Treated with Mohs Micrographic Surgery" (1), Dr. Divya Srivastava and her colleagues at the University of Texas Southwestern Medical Center demonstrated the effectiveness of the combination of

What's new in pediatric dermatology?

Experts break down diagnoses you didn't know about 10 years ago ... Feature ... By Emily Margosian, Assistant Editor, April 1, 2022 The world looked different in 2012, particularly in the world of medicine. Among the many changes of the last decade, new diagnoses have emerged within the field of

The ins and outs of billing company contracts

Legally Speaking ... Alice G. Gosfield, Esq. is a health care attorney at Alice G. Gosfield and Associates, P.C. ... By Alice G. Gosfield, Esq., November 1, 2020 Every month, DermWorld ... covers legal issues in "Legally Speaking." This month’s author is Alice G. Gosfield, Esq., who is a health

Cannabis arteritis: Getting higher on the differential diagnosis list of ulcerative lesions

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, January 1, 2026 Vol. 8, No. 1 Marijuana use is on the rise. In 2022, nearly 22% of people had used the drug in the past year, with steep increases in the number of people 65 and older who

The magic of dermatology

Balance in Practice ... Angela Funovits, MD, is a dermatologist in Mayfield Heights, Ohio. ... By Emily Margosian, assistant editor, November 1, 2019 At just 10 years old, dermatologist Angela Funovits, MD, began teaching herself magic. "I had seen one particular program on TV," she said, "and for some reason

What's hot?

What's hot ... October 30, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... Are you familiar with "fish pedicures" and their risks? Fish pedicures are pedicures in which the feet are immersed

What's hot?

What's hot ... June 28, 2018 In this monthly column, members of the ... Dermatology World Editorial Advisory Workgroup identify exciting news from across the specialty. ... Mallory Abate, MD ... "SPF 30 or higher" is the classic, impulse response that we often give when asked about sunscreen recommendations. However,

Protect your ability to practice

Money Matters ... David B. Snyder, JD, CLU ... ® ... , is an attorney, author, and financial advisor at the wealth management firm OJM Group. He covers financial issues for dermatologists in this quarterly ... Dermatology World column. ... By David B. Snyder, JD, CLU, June 3, 2019 For

AAD Teledermatology Standards

Download a PDF version ... These ... AAD Teledermatology Standards are also available as a PDF. ... The standards below were developed by the Academy’s Teledermatology Committee at the direction of the Board of Directors. These standards expand upon the appropriate use of telemedicine and create a core set of

Donor Spotlight: Grizzly bears, African summits, and other joys

Celebrating a decade of AAD’s Skin Cancer, Take a Hike!™ with its founder ... Donor Spotlight ... By Dean Monti, Managing Editor, Special Publications, May 1, 2024 In this new column, DermWorld ... highlights individual members who have gone above and beyond with their Academy contributions. This year marks the

Mentorship mentation: Bringing out the best of us!

By David A. Wetter, MD Sept. 9, 2020 Vol. 2, No. 36 I have been experiencing sports withdrawal during this COVID-19 life pause. I even (excitedly) gobbled up the recently televised NBA HORSE competition. Currently my family and I are enjoying ESPN’s 10-hour documentary ... The Last Dance , which

Say “Cheese!” Three reasons why EMR photography makes me smile

By Warren R. Heymann, MD Jan. 15, 2018 It is difficult to recall medical photography (or life itself) in the pre-smartphone/pre-electronic medical record (EMR) era, even though it has only been 10 years since the inception of the iPhone, and just four years since our practice transitioned to an EMR.

AMA introduces new prolonged service code for 2021

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, manager, coding and reimbursement, January 1, 2021 Academy coding staff address important coding topics each month in Derm Coding Consult. ... Read more Derm Coding Consult articles . Coding based on time ... As previously discussed

Coding Resource Center

The AAD Clinical Image Collection Impact ... Learn more about the mission behind this new resource, how our expert members helped make it happen, and how the collection improves patient care. ... Find practical tips, tools, quizzes, and videos about common dermatological coding issues. Surgical and procedure codes Access a

Turning our attention to melanoma risk in Turner syndrome

By Warren R. Heymann, MD, FAAD July 2, 2025 Vol. 7, No. 26 "…at the endocrine clinic and in private practice, I had seen a few young girls who had not matured, and they were short in stature and they had short necks with a low hair line and increased

Lipodystrophia semicircularis: A lipoatrophy not to get depressed about

By Warren R. Heymann, MD, FAAD Nov. 2, 2022 Vol. 4, No. 44 A colleague asked me if I could evaluate his 26-year-old daughter while she was briefly on break from her graduate studies in Barcelona. He was concerned that she had developed lipodystrophy. Of course, I agreed, without his

Aquagenic pruritus and polycythemia vera: Still valid (and mysterious) after all these years

By Warren R. Heymann, MD, FAAD Dec. 6, 2023 Vol. 5, No. 48 It was thrilling to deliver the introductory dermatology lecture to our first-year medical students this year because most of the class was ... in person and fully engaged with the material. I am approaching the half-century mark

Exchanging plasma exchange for a novel approach: The potential of FcRn antagonists in dermatologic autoimmune disease

By Warren R. Heymann, MD, FAAD Nov. 1, 2023 Vol. 5, No. 44 Pemphigus vulgaris (PV) and pemphigus foliaceus (PF) are potentially life-threatening disorders demanding aggressive therapy with all the finesse and skill that dermatologists can muster. PV is characterized by IgG autoantibodies targeting desmoglein (Dsg)‐3, which is associated with

Modifier 25 under the microscope

Dermatologists defend efficient, value-based care ... Feature ... By Jan Bowers, contributing writer, May 1, 2021 In their relentless drive to minimize costs and maximize profits, insurers are increasingly taking aim at the use of modifier 25, pointing to what they view as excessive and/or inappropriate use. Physicians report modifier

Patient power

Technology amplifies the patient voice in advocacy groups ... Feature ... By Jan Bowers, Contributing Writer, February 1, 2022 In the early 20th century, when a diagnosis of cancer almost inevitably led to death, a group of 10 physicians and five laypeople launched the American Society for the Control of

Flying solo

Dermatologists share their experiences and tips for starting and operating a solo practice. ... Feature ... By Allison Evans, Assistant Managing Editor, August 1, 2025 Physicians are less likely to work in private practice today than 10 years ago due to economic, administrative, and regulatory burdens. According to a 2022

Indoor tanning fact sheet

Indoor tanning use  ... The global prevalence of indoor tanning in adolescents for 2013-2018 was 6.5%, and 10.4% in adults. (1) ... Though the numbers have been decreasing in recent years, approximately 7.8 million adults in the U.S. still engage in indoor tanning. (2,3) ... Among high school students in

Vitamin D and UV exposure

Key messages ... The American Academy of Dermatology recommends that healthy adults should obtain an adequate amount of Vitamin D from a diet that includes foods naturally rich in vitamin D and/or foods/beverages fortified with vitamin D. (1) ... Because ultraviolet rays from the sun and tanning beds can cause

The profound dermatological manifestations of COVID-19: Part V – Pediatric multisystem inflammatory syndrome

By Warren R. Heymann, MD May 13, 2020 Vol. 2, No. 19 Disclaimers: This commentary was written on May 7, 2020 for a publication date of May 13, 2020. The issues related to the COVID-19 pandemic are changing by the millisecond. The content included in this commentary may no longer

Dupilumab treatment of bullous pemphigoid: Hoping for approval on the double

By Warren R. Heymann, MD, FAAD Jan. 15, 2025 Vol. 7, No. 2 Perhaps dupilumab won’t be the game-changing biologic that patients are pining for. At the least, it represents the dawn of the biologic era for AD [atopic dermatitis] ... . That alone offers hope for our long-suffering patients,

iPLEDGE advocacy updates

The statements to members below track the Academy’s ongoing advocacy efforts for the dermatology specialty on the iPLEDGE Program. ... Feb. 10, 2026 iPLEDGE Win: FDA finally confirms iPLEDGE changes long advocated for by AADA ... AADA advocacy culminates in changes reducing physician, patient burden Following relentless and sustained advocacy

Thyroid hormone, mitochondria, photoaging and April 7, 2017

By Warren R. Heymann, MD Sept. 24, 2016 On April 7, 1997 I filed a patent entitled "Method for the treatment of dry skin," utilizing topical thyroid hormone. The publication date of the patent US5951989 was September 14, 1999. The expiration date is April 7, 2017. ... Some of you

Sun safety

Key messages ... At least one in five Americans will develop skin cancer during their lifetime. (1,2) ... Sun exposure is the most preventable risk factor for skin cancer, including melanoma, the deadliest form of skin cancer. (3-6) ... To protect your skin from the sun, seek shade, wear protective

Advocacy Update Feb. 4 2025

IN THIS ISSUE / Feb. 4, 2025 Physician champions introduce Medicare physician payment fix in House Academy joins coalition urging less regulatory burdens in Medicare Advantage and Part D program AADA urges CMS to improve MVP framework Become an AADA Advocacy Key Contact Support dermatology champions in Congress through SkinPAC

Advocacy Update May 5, 2026

IN THIS ISSUE / May 5, 2026 Advocacy win: United Healthcare delays referral program penalties Dr. Gross attends political event on behalf of SkinPAC New Medicare physician payment reform legislative efforts AADA presents at FDA nonprescription drugs access public meeting Payer Advocacy Advocacy win: United Healthcare delays referral program penalties

Coding for surface radiation therapy in dermatology: A practical guide

Surface radiation therapy (SRT), previously referred to as superficial radiation therapy, has become an increasingly employed modality for treating cutaneous tumors such as nonmelanoma skin cancers and select benign lesions in dermatology. With the 2026 CPT ... ® ... changes, the SRT code set has been modified and streamlined, and

The vexing verruciform xanthoma

By Warren R. Heymann, MD, FAAD February 23, 2022 Vol. 4, No. 8 Verruciform xanthomas (VX) were first described 50 years ago, and they are still a source of debate. Only the most astute dermatologists will make the diagnosis clinically, with the possible exception of recognizing such lesions in patients

Does HPV vaccination change the burden of disease in patients with actinic keratosis?

Clinical Applications ... By Kathryn Schwarzenberger, MD, FAAD, September 1, 2025 In this month’s Clinical Applications column, Physician Editor Kathryn Schwarzenberger, MD, FAAD, talks with Emily Wenande, MD, PhD, about her JAMA Dermatology ... paper, ‘ Human Papillomavirus Vaccination and Actinic Keratosis Burden: The VAXAK Randomized Clinical Trial .’ DermWorld:

Shocking news: Heat shock protein inhibition finally enters the realm of dermatologic therapy

By Warren R. Heymann, MD, FAAD Oct. 23, 2024 Vol. 6, No. 43 Heat shock proteins (HSP) were serendipitously discovered by the brilliant Professor Ferruccio Ritossa in 1962 while studying nucleic acid synthesis in chromosomal puffs of ... Drosophila salivary glands. De Maio states, "Ritossa noticed something unexpected when cells

The malignant risk in circumscribed palmar or plantar hypokeratosis: Summoning Charles Dickens and Freddie Mercury

By Warren R. Heymann, MD, FAAD May 14, 2025 Vol. 7, No. 19 Smitten by the seminal article in 2002 by Pérez et al. describing circumscribed palmar or plantar hypokeratosis (CPPH), I have diagnosed the disorder several times, reassuring patients that this oddity is of no concern. More than 100

What’s up in Down syndrome?

By Warren R. Heymann, MD, FAAD October 13, 2021 Vol. 3, No. 41 Being married to a geneticist has served me well as a dermatologist. Just as dermatologists can instantly diagnose many dermatoses based on pattern recognition, geneticists skilled in dysmorphology can identify many syndromes in a heartbeat. Physicians of

Lupus miliaris disseminatus faciei: A Simon and Garfunkel playlist

By Warren R. Heymann, MD, FAAD Oct. 1, 2025 Vol. 7, No. 39 William Tilbury Fox (1836-1879) was a brilliant dermatologist, the first in the United Kingdom to have a post in a teaching hospital. With Erasmus Wilson, he resurrected the prominence of British dermatology nearly half a century after

Advocacy Update Dec 9, 2025

IN THIS ISSUE / Dec. 9, 2025 AADA endorses annual inflationary update to Medicare payment legislation Upcoming formulary prior authorization changes to Blue Cross Blue Shield’s federal employee coverage Podcast highlights advocacy on dermatopathology payer and regulatory challenges AMA offering $1 million in community health program grants Peter Friedman, MD,

The ironclad promise of ferroptosis

By Warren R. Heymann, MD, FAAD Jan. 25, 2023 Vol. 5, No. 4 As checkpoint inhibition of programmed cell death protein 1 (PD1) has become standard oncologic therapy, it is easy to forget that this revolutionary therapy is barely a decade old. Until 1972, cell death was considered passive and

Promising therapeutic developments for cutaneous lupus erythematosus: Interfering with interferon – Part II – Focus on Anifrolumab

By Warren R. Heymann, MD, FAAD Sept. 13, 2023 Vol. 5, No. 37 This is an exciting time for cutaneous lupus erythematosus (CLE). Recently published findings from three clinical trials show substantial progress in developing more targeted, efficacious, and better-tolerated medications for patients with CLE, particularly by inhibiting the production

Pityriasis rosea and pityriasis rosea-like eruptions: A Christmas tale

By Warren R. Heymann, MD, FAAD Dec. 3, 2025 Vol. 7, No. 47 Santa Claus waving from his sleigh on Central Park West on Black Friday traditionally commenced the Christmas holiday season. That "official" start now occurs after the last trick-or-treater devours their Hershey bar on Halloween. Realistically, it is

Adding protothecosis to the protocol

By Warren R. Heymann, MD, FAAD April 23, 2025 Vol. 7, No. 16 As a dermatology resident at the outset of the AIDS epidemic, I quickly learned that all bets are off when diagnosing infectious diseases in immunocompromised hosts. That experience taught me to culture broadly for bacterial, atypical mycobacterial,

Chanarin-Dorfman syndrome: Shifting out of neutral

By Warren R. Heymann, MD, FAAD Aug. 27, 2025 Vol. 7, No. 34 In nearly all neutrophil, eosinophil and basophil leukocytes and in the monocytes, several clear vacuoles of varying size were observed in the cytoplasm, which after vital staining…revealed a red colour, i.e. contained a fatty substance. The erythrocytes

Idiopathic granulomatous mastitis joins the pantheon of erythema nodosum-associated disorders

By Warren R. Heymann, MD, FAAD Dec. 11, 2024 Vol. 6, No. 49 Patients often ask me, "Doctor, is my disease rare?" I’m never quite sure how to respond — while most patients are relieved to know that they are not alone ("misery loves company"), some relish the experience of

Dermatological Care MIPS Value Pathway (MVP)

2026 MVP registration is open ... Register for the 2026 MVP for Dermatological Care through the ... QPP website . Refer to the ... QPP Access User Guide (ZIP, 5 MB) for detailed information. Register by Nov. 30, 2026! ... The Dermatological Care MIPS Value Pathway (MVP) is a streamlined

Dermatological Care MIPS Value Pathway (MVP)

The Dermatological Care MIPS Value Pathway (MVP) is a streamlined reporting system designed specifically for dermatologists to meet MIPS requirements. CMS is designing MVPs to allow physicians to report on measures that are more relevant to their specialties in a structured manner. Unlike traditional MIPS, participation in an MVP for

Advocacy Update Mar. 18, 2025

IN THIS ISSUE / Mar. 18, 2025 AADA outraged that Congress passed government funding without doc fix AADA advocates for dermatologists in CLIA lab director requirements FDA testing confirms minimal benzene in most benzoyl peroxide acne products, some voluntary recalls issued Add your voice and become an AADA Advocacy Key

Sweating over sweat gland carcinomas: Part 1 — Squamoid eccrine ductal carcinoma

By Warren R. Heymann, MD, FAAD Aug. 13, 2025 Vol. 7, No. 32 A highlight of my week is leisurely reading the ... Philadelphia Inquirer on quiet Sunday mornings, skimming over the troubling headlines, and concentrating on positive happenings in the Delaware Valley. My bliss was rudely interrupted by a

Skin conditions by the numbers

Acne ... Acne is the most common skin condition in the United States, affecting up to 50 million Americans annually. (1) ... There are different types of acne (blackheads, whiteheads, pimples, acne cysts or nodules), so a one-size-fits-all approach is not the best way to achieve clearer skin. (2) A

Sparking the interest in Spark nevus

By Jason B. Lee, MD, FAAD Dec. 13, 2023 Vol. 5, No. 49 The late A. Bernard Ackerman has described and named a variety of dermatologic entities, expanding the lexicon of dermatology over his career. He has been known to come up with catchy and playful names for dermatologic entities

The expanding horizon of anti-IL-36 therapy

By Warren R. Heymann, MD, FAAD Sept. 25, 2024 Vol. 6, No. 39 An abridged version of this commentary was published in "A Clinician’s Perspective" in the April 2024 issue of the JAAD ... . We last explored the relationship between IL-36 and generalized pustular psoriasis (GPP) and the use

Reassuring patients with sclerosing lymphangitis of the penis that they will not get shafted

By Warren R. Heymann, MD, FAAD July 17, 2024 Vol. 6, No. 29 Over the past decade of using our electronic medical record, I must have clicked on the word "reassurance" thousands of times for anxious patients with lesions of no biological concern. Today you will calm patients who are

How and when to report prolonged services

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Manager, Lead Coding and Reimbursement Strategist, September 1, 2024 Academy coding staff address important coding topics each month in DermWorld ... Coding Consult. Read more Coding Consult articles . Prolonged services in dermatology are often necessary

An old dog with a new trick: High dose intralesional steroids in hidradenitis suppurativa

By Warren R. Heymann, MD, FAAD February 2, 2022 Vol. 4, No. 5 Hidradenitis suppurativa (HS) is hitting its stride academically — deservedly so. In 2000 there were 2 publications about HS in the ... Journal of the American Academy of Dermatology ; in 2010, 9 manuscripts; and, in 2020,

Paraneoplastic Merkel cell carcinoma: Searchin’ for my lost shaker of salt

By Warren R. Heymann, MD, FAAD Sept. 6, 2023 Vol. 5, No. 36 By pure coincidence, Jimmy Buffett passed away from Merkel cell carcinoma (MCC) as I researched the topic of paraneoplastic MCC. Although I am no parrothead, every time I’d hear Margaritaville, I’d smile and fantasize about a lifestyle

Keeping an eye on retinoids as treatment for the ectropion of lamellar ichthyosis

By Warren R. Heymann, MD Nov. 9, 2017 ... Clinical examples of autosomal recessive congenital ichthyosis: harlequin ichthyosis (HI) at birth (A); HI evolves into generalized exfoliating erythrodermic ichthyosis (B and C) (reprinted from "Menschen mit Ichthyose - ein Bildband 2003" courtesy of Selbsthilfe Ichthyose e. V.); collodion membrane with

May 11, 2022

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / May 11, 2022 ... Sexual dysfunction associated with finasteride use in men with androgenetic alopecia DermWorld Insights and Inquiries : Lagging ahead — LAG-3 checkpoint inhibition for advanced melanoma FDA grants

Appropriate use of modifier 59

Modifier 59: In a nutshell ... Modifier 59 is used when you perform two or more distinct procedures in one visit. ... It is one of the most misused modifiers and can result in not getting paid for your services. ... You should only use modifier 59 if no other

From the editor

From the Editor ... Dr. Schwarzenberger is the former physician editor of ... DermWorld. By Kathryn Schwarzenberger, MD, January 1, 2019 Happy 2019! Another year is upon us. The years seem to fly by these days — a hazard, I understand, of growing older. I suspect that many of you

Diagnosing atypical hand, foot, and mouth disease by routine microscopy

By Warren R. Heymann, MD Dec. 15, 2016 Hand, foot, and mouth (HFM) disease is childhood exanthem usually caused by Coxsackie A16; enterovirus 71 has been implicated in cases of HFM complicated by encephalitis, flaccid paralysis, myocarditis and pulmonary edema. Coxsackie A6 has recently been associated with severe, atypical episodes

The prescience of Bernie Ackerman: The road from “pseudoleukemia cutis” to “intralymphatic proliferation of T-cell lymphoid blasts (IPTCLBs)”

By Warren R. Heymann, MD Dec. 13, 2016 Hand, foot, and mouth (HFM) disease is childhood exanthem usually caused by Coxsackie A16; enterovirus 71 has been implicated in cases of HFM complicated by encephalitis, flaccid paralysis, myocarditis and pulmonary edema. Coxsackie A6 has recently been associated with severe, atypical episodes

Does he or doesn’t he? Only his oncologist knows for sure!

By Warren R. Heymann, MD July 17, 2017 Repigmented hair overlying melanoma in situ of scalp. Slowly darkening patch of previously white hair on superior scalp. ... Credit: ... JAAD I’m racking my brain wondering if I have ever seen a case of idiopathic facial aseptic granuloma (IFAG) — I

Rounds on pityriasis rotunda

By Warren R. Heymann, MD, FAAD Aug. 7, 2024 Vol. 6, No. 32 Science, medicine, and patient strife aside, sometimes I just admire the beauty of skin lesions in and of themselves. Round, annular, and targetoid lesions (fixed drug eruptions, granuloma annulare, tinea, subacute lupus, erythema multiforme, erythema migrans, and

A medal-worthy diagnosis: Medallion-like dermal dendrocyte hamartoma

By Warren R. Heymann, MD, FAAD Aug. 30, 2023 Vol. 5, No. 35 A personal joy of dermatology is rendering a diagnosis in a lesion or rash that I have only read about but never previously encountered in practice. Beyond being intellectually satisfying, having a precise diagnosis is reassuring, as

Granular C3 dermatosis in granular detail

DermWorld Insights and Inquiries ... By Warren R. Heymann, MD, FAAD, May 1, 2026 Vol. 8, No. 5 Except for straightforward cases of bullous pemphigoid, my ability to predict direct immunofluorescence (DIF) results in cases of presumed autoimmune blistering diseases leaves much to be desired. Recently, my humility in this

Advocacy Update Nov 25, 2025

IN THIS ISSUE / Nov. 25, 2025 OIG report supports dermatologists’ use of modifier 25, CMS requires no further actions Academy objects to Anthem non-participating physician policy AADA urged Congress to stabilize Medicare physician payment at recent House Ways and Means subcommittee hearing Support SkinPAC Regulatory Advocacy OIG report supports

Recognizing mpox

The information on this page was created by the Academy’s Ad Hoc Task Force to Develop Mpox Content. Mpox (monkeypox) is caused by the mpox virus, which belongs to the  ... Orthopoxvirus  genus in the family Poxviridae. ... 1 ... Though mpox is rare, it is endemic in Central and West

Glucose monitors: Not as sweet as they seem

By Christen M. Mowad, MD Oct. 9, 2019 Vol. 1, No. 31 ... The next contact allergen of the year has been announced early by the American Contact Dermatitis Society and it is an acrylate, isobornyl acrylate. (1) This chemical is a photopolymerizable monomer that has been used in industrial

“Black dot” alopecia areata

By Warren R. Heymann, MD April 16, 2016 This week I had a 35 year old man present with a one month history of a round patch of alopecia. He was told by his PMD that he had tinea and was started on oral terbinafine (which he had been on

The breathless complications of anti-MDA-5-positive dermatomyositis

By Warren R. Heymann, MD, FAAD Oct. 30, 2024 Vol. 6, No. 44 Dermatologists are familiar with the spectrum of dermatomyositis (DM) — classic DM, juvenile DM, amyopathic DM, and cancer-associated DM. Clinically, amyopathic DM is a form in which the patients typically develop characteristic cutaneous features of DM [heliotrope

Stepping back from the abyss: A kinder, gentler variant of calciphylaxis

By Warren R. Heymann, MD March 16, 2017 My reaction to the diagnosis of calciphylaxis is Pavlovian — I automatically think about an end-stage renal insufficiency patient with an abysmal prognosis. Increasingly there are reports of nonuremic forms of the disease, where the prognosis may not be as bleak (*although

Periocular hypopigmentation of the elderly: A new POTUS dermatosis?

By Warren R. Heymann, MD, FAAD Sept. 4, 2024 Vol. 6, No. 36 Editorial Note: DermWorld Insights and Inquiries provides commentaries on issues in dermatology. This editorial was composed before the assassination attempt of former President Trump, President Biden’s decision not to seek a second term, and the nomination of

Dermatofibrosarcoma protuberans recurrence: Size matters

By Warren R. Heymann, MD, FAAD April 24, 2024 Vol. 6, No. 17 Editor’s note: An abridged version of this commentary was published in the November 2023 issue of the Journal of the American Academy of Dermatology ... . Dermatofibrosarcoma protuberans (DFSP) is a fascinating soft tissue tumor; although considered

Standard postoperative wound care practice may be all wet

By Warren R. Heymann, MD, FAAD July 9, 2025 Vol. 7, No. 27 Dermatologists perform procedures throughout the day, including straightforward skin biopsies, electrodesiccation, curettage, cryosurgery, laser treatments, etc. Postoperatively, many of these wounds are dressed, and patients are given instructions for caring for them. ... The following, entitled "After

PDF of Top 10 Derm Codes RVUs

Could wart immunotherapy open a therapeutic window for congenital nevi at risk for melanoma?

By Warren R. Heymann, MD ... June 13, 2017 ... Dermatoscopic image of congenital melanocytic nevus. Arrows point to reticular network (left), perifollicular hypopigmentation (center), and globules contained within empty spaces in the network ("target globules," right), features that are reportedly suggestive of congenital melanocytic nevi. ... Credit: ...

Reflections on infantile perianal pyramidal protrusion and Hippocrates

By Warren R. Heymann, MD, FAAD May 29, 2024 Vol. 6, No. 22 Patient safety and quality improvement have been at the forefront of medical care since the publication of "To Err is Human: Building a Safer Health System" by the Institute of Medicine, which estimated that as many as

Dermatology coding essentials part 1: Pearls, pitfalls, and best practices

Derm Coding Consult ... By Faith C. M. McNicholas, RHIT, CPC, CPCD, PCS, CDC, Senior Manager, Coding & Reimbursement, April 1, 2026 Academy coding staff address important coding topics each month in DermWorld Coding Consult. ... Read more Derm Coding Consult articles . Your ability to deliver excellent patient care

A checkup on immune checkpoint inhibitor-induced subacute cutaneous lupus

By Warren R. Heymann, MD, FAAD March 15, 2023 Vol. 5, No. 11 Keeping up with the expanding indications and adverse reactions to immune checkpoint inhibitors (ICIs) can be a full-time job. These drugs are anti-neoplastic because of cytotoxic T-cell activation. ICIs include the anti-cytotoxic T-lymphocyte-associated antigen-4 (CTLA-4) agent ipilimumab,

Rituximab and dermatomyositis: Dr. Samitz would be proud

By Warren R. Heymann, MD Nov. 20, 2019 Vol. 1, No. 37 The gifted dermatologist clinician-educator Morris H Samitz, MD, has been honored with an annual lectureship at the Perelman School of Medicine at the University of Pennsylvania for the past 44 years. Dr. Samitz passed away in 1993, but

Telangiectasias: When is it TEMPI time?

By Warren R. Heymann, MD, FAAD Oct. 19, 2022 Vol. 4, No. 42 For the medical dermatologist, telangiectasis requires a thoughtful approach to diagnosis. Where are the lesions distributed (generalized, mucosal, periungual)? Are they linear or mat-like? Are they associated with other lesions (pigmented macules, spider angiomas)? Is the patient

Understanding Multiple Procedure Payment Reduction Rule

Have you ever wondered how Medicare determines when to apply the multiple procedure payment reduction rule (MPPR) and how it affects claim-reimbursement amounts? ... The American Medical Association’s (AMA’s) Current Procedural Terminology (CPT®) code manual describes individual services and procedures. The AMA/Specialty Society Relative Value Scale (RVS) Update Committee (RUC)

AESOP: The ants and the grasshopper

By Warren R. Heymann, MD, FAAD Aug. 21, 2024 Vol. 6, No. 34 Unquestionably, AESOP ( ... A denopathy and ... E xtensive ... S kin patch ... O verlying a ... P lasmactyoma) is rare — to date, fewer than 25 cases have been reported. (1) Why write (or

Tag, you’re it!

By Warren R. Heymann, MD, FAAD Sept. 28, 2022 Vol. 4, No. 39 Chances are you will see a patient with skin tags today. ... Patients will likely ask you two questions: Why do I get them? What do you mean my insurance won’t cover their removal (for asymptomatic lesions)?

Progress in pemphigus: Solidifying rituximab’s role

By Warren R. Heymann, MD, FAAD July 7, 2021 Vol. 3, No. 27 "Now what do I do?" ... That question, asked by dermatologists every day about patients who are not responding to therapy, was posed in the preface of the first (and every subsequent) edition of ... Treatment of

Like the tumor itself, knowledge about DFSP is expanding wider and deeper

By Warren Heymann, MD June 16, 2021 Vol. 3, No. 24 Dermatofibosarcoma (DFSP) is a mystifying lesion. Although considered rare, I have encountered several cases over the years. Some recent literature offers potential insights into its pathogenesis and management. ... DFSP is a low-to-intermediate grade sarcoma with a reported incidence

Working up pernio: How far should you dip your toe in the water?

By David A. Wetter, MD May 6, 2020 Vol. 2, No. 18 Dermatologists are rapidly becoming reacquainted with pernio (chilblains), given the increasing reports of pernio-like acral eruptions (and other dermatologic manifestations) occurring in association with COVID-19. (1, 2) This raises an important clinical question: under normal (non-COVID-19) circumstances, what

Beef tallow for eczema: Grade A prime or just another bum steer?

By Andrew C. Krakowski, MD, FAAD June 18, 2025 Vol. 7, No. 24 As a pediatric dermatologist, I have seen skin care trends come and go faster than a cow fleeing a branding iron. Lately, social media — especially herd-mentality platforms like TikTok — has been bullish on beef tallow

Metformin mania: Is it an adequate chemopreventive agent for skin cancer?

By Warren R. Heymann, MD, FAAD Aug. 31, 2022 Vol. 4, No. 35 Precisely a century ago (in 1922) metformin was synthesized, based on the folk knowledge that the active, but toxic constituent guanidine galegine, (derived from French lilac, ... Galega officinalis ) could treat "sweet urine." Metformin is now

Topical tacrolimus topics

By Warren R. Heymann, MD August 26, 2020 Vol. 2, No. 34 What were you doing in 2000? Worrying about counting chads in Florida? If you were a dermatologist, you were probably eagerly awaiting the release of topical tacrolimus (Protopic) and pimecrolimus (Elidel) two years later. These topical calcineurin inhibitors

2025 AADA Legislative Conference: Program and agenda

Conference schedule ... The conference will take place on Sunday, September 7 through Tuesday, September 9, 2025, at the J.W. Marriott in Washington, D.C. The program will contain policy-focused sessions, designed to offer an in-depth understanding of how to translate the issues that affect the specialty into effective lobbying of

Public content on AAD.org tops 46 million page views

The public section of AAD.org performed strongly in 2024! ... The website received over 46 million page views from over 33 million unique visitors. The website’s Domain Authority, a score that predicts how likely a website is to rank in search engine result pages, increased from 77 to 79. A

Business valuation: How much is my practice worth?

You’ve spent years building your dermatology practice, and you consider it one of your most rewarding accomplishments. Now, you’re ready to retire. And you’re wondering how, when, and where to sell. Perhaps most importantly, you're wondering how to set the right price. ... Business valuation is both an art and

MUE, MAI, and you

Cracking the Code ... Dr. Miller, who is in private practice in Yorba Linda, California, represents the American Academy of Dermatology on the AMA-CPT Advisory Committee. ... By Alexander Miller, MD, June 3, 2019 Test your knowledge: MUE, MAI, and you ... Take the quiz to see if you're up

The aryl hydrocarbon receptor: Tapinarof is taking off

By Warren R. Heymann, MD, FAAD Nov. 19, 2025 Vol. 7, No. 46 In his outstanding lecture identifying drivers of lupus, presented at the 2025 meeting of the Medical Dermatology Society, Jaehyuk Choi MD, PhD, explained that interferon — the well-known nemesis of lupus — controls the production of T

Long COVID has a lot of nerve

By Warren R. Heymann, MD, FAAD Dec. 17, 2025 Vol. 7, No. 49 The profound medical and socioeconomic trauma of the COVID-19 pandemic may seem as though it is in the rearview mirror, but it is not. As of April 15, 2025, the CDC estimated that COVID-19 infections are growing

High-dose vitamin D may be a ray of sunshine for treating sunburn

By Warren R. Heymann, MD, FAAD June 4, 2025 Vol. 7, No. 22 Rightly or wrongly, I attribute my melanoma to a blistering sunburn at the Sahara Hotel in Miami Beach in 1958. I recall my mother shmearing Noxzema on my back — the distinctive smell of Noxzema (from eucalyptus,

October 23, 2024

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / October 23, 2024 ... Botulinum toxin type A with topical minoxidil vs. topical minoxidil alone in males with androgenetic alopecia DermWorld Insights and Inquiries : Shocking news — Heat shock protein

Essentials of in-office compounding

In Practice ... By Faiza Wasif, MPH, practice management manager and Natasha Pattanshetti, JD, MPH, regulatory policy manager, June 1, 2018 As a dermatologist, you have probably compounded medications at some point during your clinical career. Skin conditions, such as acne, psoriasis, and warts, are often successfully treated using compounded

Diagnosing calciphylaxis: A better way?

By Warren R. Heymann, MD Aug. 1, 2017 Calciphylaxis. Patient 6. A, Plain film of left foot with vessel calcification 0.2 mm in diameter (arrow). B, Histopathologic image with vessel calcification and thrombosis, and surrounding tissue necrosis. (Original magnification: ×100.) ... One of the most dramatic presentations on the dermatology

Educating our public — AAD.org provides a comprehensive, reliable resource for your patients

Itch, sunburn, COVID toes. You name it. You treat them all. When questions invariably arise about skin, hair, and nails, the public has a trusted, reliable place to find answers on our site for the public. ... In 2021, we tracked more than 52 million pageviews at ... aad.org/public ,

Getting a head up on cutaneous scalp malignancies

By Warren R. Heymann, MD, FAAD May 7, 2025 Vol. 7, No. 18 I’m confident that your alopecic patients with a suspected keratinocyte carcinoma or melanoma of the scalp jokingly ask you to be careful with your biopsy procedure so they do not lose any more hair. While patients and

Melanoma risk in patients with melaoncortin-1 receptor independent of ultraviolet radiation: Is there a way not to be burned by your genome?

By Warren R. Heymann, MD July 18, 2016 I admit that my concept of Type I skin red-headed patients getting melanoma was simple: They have a polymorphism(s) of the melanocortin-1 receptor (MC1R), pheomelanin, ultraviolet exposure, DNA damage, increased reactive oxygen species, and voila: melanoma! While conceptually elegant, this is apparently

Dermatopathology’s taste of honey

By Warren R. Heymann, MD September 2, 2020 Vol. 2, No. 35 Recently, on our consult service, my resident and I were assessing a patient with a potential autoimmune bullous disease; we concurred that a skin biopsy for routine microscopy and direct immunofluorescence (DIF) was warranted. "I’ll have to come

Necrotizing infundibular crystalline folliculitis: Not yet crystal clear

By Warren R. Heymann, MD, FAAD Jan. 29, 2025 Vol. 7, No. 4 Time and exposure to several articles are necessary to crystallize a novel clinicopathological correlation in my mind. Such is the case with necrotizing infundibular crystalline folliculitis (NICF). I suspect that I have seen this condition but have

This month’s news from across the specialty

What’s hot ... August 1, 2024 In this monthly column, members of the  ... DermWorld Editorial Advisory Workgroup identify exciting news from across the specialty.   ... Maureen Offiah, MD, FAAD Several physician groups have recently modified the ... staging and classification of all primary cutaneous lymphomas (PCL). Changes to

Three’s company: JAAD Reviews joins our two other open access, online journals

What if ... JAAD took an even deeper dive and gave you a journal with more information about the ... JAAD articles that are meaningful to you? Now you have one. What’s more, now you have three. The recently launched, newest addition to the ... JAAD family of journals, ...

A metabolic pathway that may allow dermatologists to run rings around porokeratoses

By Warren R. Heymann, MD July 31, 2019 Vol. 1, No. 21 "I know the variants of porokeratoses and can recite them as though I am the very model of a modern major general — Mibelli, linear, punctate, palmoplantar, DSAP [disseminated superficial actinic porokeratosis], superficial disseminated, immunosuppression-related, and porokeratosis ptychotropica.

A tale of two disorders of hypopigmentation: The potential role of Cutibacterium acnes dysbiosis in progressive macular hypomelanosis and lichen striatus

By Warren R. Heymann, MD, FAAD April 30, 2025 Vol. 7, No. 17 The human microbiome of the skin, gastrointestinal tract, and airways comprises distinct populations of bacteria, fungi, viruses, and mites and plays an essential role in homeostasis. The skin microbiome represents the totality of microbial genes within the

MIPS reporting: Top 10 measures reported by dermatologists in 2020

Facts at your fingertips ... By Emily Margosian, Assistant Editor, November 1, 2021 Despite challenges from the COVID-19 pandemic, the MIPS 2020 performance year was a successful one for DataDerm ... ™ ... and Academy members. Last year, 671 providers reported through the registry, with a total of 3,031 measures

From Down Under to all over: Kava-induced cutaneous adverse reactions

By Warren R. Heymann, MD, FAAD June 11, 2025 Vol. 7, No. 23 Firmly ensconced in my bucket-list travel time, I eagerly anticipate our trip to New Zealand, Tasmania, and mainland Australia in January 2025. ... (Editor’s note: This piece was written prior to the trip.) As a dermatologist, I

AAD highlights your expertise during awareness months

Awareness months are a great opportunity to let the public know you’re the experts. ... When a dermatology-related awareness month rolls around, the AAD makes sure to capitalize on the opportunity to let the public know that only a board-certified dermatologist has the expertise necessary to treat skin, hair, and

December 8, 2021

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / Dec. 8, 2021 ... Factors that may predict chronic spontaneous urticaria recurrence DermWorld Insights and Inquiries : Propranolol and neutrophilic dermatoses — Can beta-blockade be better blockade? Feedback requested: Actinic keratosis

April 23, 2025

Derm World Weekly - A Publication of the American Academy of Dermatology | Association ... IN THIS ISSUE / April 23, 2025 ... Recommendations for the use of topical, oral minoxidil DermWorld Insights and Inquiries : Adding protothecosis to the protocol FDA approves dupilumab for chronic spontaneous urticaria Long-term effectiveness

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes — QCDR measure AAD 20

Actinic Keratosis: Self-reported AK Treatment or Management Outcomes ... DESCRIPTION: Percentage of adult patients (18 years old and older) who self-report favorable outcomes resulting from a recommended treatment or management approach for Actinic Keratosis (AK) and who self-report satisfaction with the treatment or management of AK. Patients provide a global

September

Issue ... September January February March April May June July August September October November December View digital flipbook In this issue ... From the Editor ... We have a front-row seat What’s hot ... This month’s news from across the specialty Clinical Applications ... Does HPV vaccination change the burden