Northwell Dermatology Provider-Specific Reference Notes

Provider-specific procedural preferences, documentation requirements, and medical protocols for Dr. Skrokov, Dr. Pardes, and Dr. Septon at Northwell Dermatology.

Metal cautery tips

Type of cautery used by Dr. Skrokov that are not disposable.

Spironolactone labs (Dr. Skrokov)

Labs are not needed if the patient has no major medical history or cannot get pregnant.

Biopsy with destruction (Dr. Skrokov)

Standard biopsy tray setup plus a small circle curette.

AK documentation (Dr. Skrokov)

Place in chart history immediately the first time the doctor sees an Actinic Keratosis.

Appearance Orientation (Dr. Pardes)

EMA setting that must always be set to ‘Pleasant’.

99213 code

The code $99213$ is used for Dr. Pardes instead of $99212$ to override coding preferences.

Chronic exacerbation

A coding phrase Dr. Pardes uses to ensure a ‘4’ on the code for coverage.

High Risk (Steroids)

A classification that must be added in EMA when prescribing steroids for Dr. Pardes.

Seborrheic dermatitis protocol (Dr. Pardes)

Always perform and document counseling for this condition.

15 blade

The specific blade used by Dr. Septon; he does not use a Dermablade.

Disposable cautery tips

The type of equipment used by Dr. Septon for cauterization.

Surgical Consent

Required in EMA for every single biopsy performed by Dr. Septon.

Biopsy Photo Protocol (Dr. Septon)

Always take a photo after marking, but wipe the marker off the patient before capturing the image.

TBSE

The notation written in the Protocol section for a patient's first full skin check with Dr. Septon.

Full Skin Check Chief Complaint

Dr. Septon requires an additional chief complaint for a full skin check, not just one complaint.

Reassurance (EMA)

An impression detail that must be clicked for every impression in Dr. Septon’s charting.

Spironolactone labs (Dr. Septon)

Labs that must be run every time with no exceptions.

Lido WITH Epi syringes

Dr. Septon requires stocking approximately $15$ of these (either $1/12$ or $1$ cc) for her room.