Dermatopathology Services

In This Section

Dermatopathology is the microscopic diagnosis of all skin, hair, nail and mucosal conditions. Our dermatopathologists work closely with dermatologists, family practitioners, internists, plastic surgeons and other physicians to provide expert, accurate diagnosis of skin-related conditions and treatments. 

Dermatopathology Physicians
Emily Smith, MD, (left) and Kara Braudis, MD, (right) in the dermatopathology lab.

Physicians perform biopsies to remove tissue and send it to a dermatopathology lab for examination under the microscope. University of Missouri Health Care’s dermatopathologists review that tissue using microscopic and clinical information to make a diagnosis. 

The findings are sent back to the referring provider, who will use it to determine the most appropriate treatment. 

Services for referring providers

Our board-certified and fellowship-trained physicians specialize in clinical dermatology and dermatopathology, making them uniquely qualified to integrate both the clinical and pathologic information for accurate diagnoses. Clinical photographs are appreciated and encouraged. Our services include:

  • Processing of routine (formalin-fixed) specimens
  • Analysis of nail and hair (alopecia) specimens 
  • Comprehensive immunohistochemical and histochemical stain menu performed in-house for faster turnaround times. 
  • Staged excisions (slow Mohs) specimens
  • Diagnostic consultation on referred material
  • Peer review for all melanomas and complex cases
  • Direct immunofluorescence testing 
  • Molecular T- and B-cell clonality assays (send-out test to reference laboratory at referring physician’s request)
  • Review of clinical photographs
  • Informative reporting format
  • Direct line of communication with dermatopathologists
  • Comprehensive chart review available for systems with integrated electronic medical records

Results

Our team provides a detailed pathological and immunodiagnostic report that can be delivered via electronic medical record (EMR) interface, fax, courier or mail.

Turnaround times are typically 24-48 hours from time of receipt for routine diagnostic cases. Complicated cases requiring additional immunohistochemical and special stains might take longer. 

Insurance and billing

This is not a patient clinic, and patients should request a report from MU Health Care’s Medical Records at 573-882-3170We are contracted with most insurance groups, and we accept Medicare, Medicaid and most private insurance plans.

If you are not currently networked with MU Health Care or Cerner, please submit a copy of your patient’s insurance with the pathology requisition. We will bill your patients’ insurance directly and utilize global billing, which combines both technical and professional fees. Our billing department will inform patients of any fees not covered by their insurance provider.

If you’d like assistance determining if our practice is in-network for a patient’s insurance plan, please call 573-882-2949