Dermatologist report

• Request by the UV carrier (even without the patient's consent)
• Determination of an occupational skin disease of a patient by the dermatologist. The patient must be informed about this and agree to the report.

As a rule, the prerequisite for the reimbursement of a dermatologist's report is that the person concerned has pursued an activity subject to social insurance contributions or has a voluntary insurance relationship with the statutory accident insurance. Foreign nationals also enjoy insurance cover under these conditions. So-called marginally paid activities are also insured.

Doctors of other specialties cannot issue a dermatologist's report. Exceptions to this are company doctors who have the specialty title "occupational medicine" or the additional title "occupational medicine".

Dermatologist's report (form AV 20 a): A report is already made if an occupational dermatosis is possible. As a rule, these are skin diseases that relate to item 5101 of the list of occupational diseases. The possibility of an occupational dermatosis is given if, in the case of a working patient who carries out a potentially harmful activity:

• the localization of the skin symptoms suggests this (usually hands),
• there is a temporal connection between the findings and the use of a new working material,
• the symptoms subside after a period of absence from work (weekend, vacation, period of incapacity for work),
• Sensitization to potential occupational substances is present.

This also applies to pre-existing illnesses that were aggravated by occupational noxious substances or congenital illnesses that were triggered by the occupation (essential partial cause). A dermatologist's report is also required if the patient has been referred by another doctor (company doctor) under suspicion of occupational dermatosis with an OD certificate (here even if the suspicion is not confirmed) and to document the course of the skin disease (recurrences) in the UV carrier.

The dermatologist's report requires the patient's information and consent. If the employer does not wish to be informed, this can be noted: The patient does not wish the employer to be informed; consultation required? However, the benefit of this is doubtful, as the technical supervisory service will usually visit the workplace, which will inevitably inform the employer. If a request is made by the accident insurance institution, a report must be made even without the patient's consent, as otherwise there is a risk of an administrative penalty!

In the dermatologist's report, an application is made to the accident insurance institution to cover further treatment and prophylaxis costs in accordance with § 3 BeKV. Only after approval by the accident insurance institution can treatment be prescribed and paid for at its expense. The sole preparation of the dermatologist's report is reimbursed according to Ltn. 82, the amount also includes the examination; in addition, tests required for diagnosis can be invoiced without the consent of the accident insurance institution: prick tests to determine an atopy (up to 20), epicutaneous tests of occupationally relevant allergens; rest and intracutaneous tests only in exceptional cases (latex, protein dermatitis).

Services provided as part of the dermatologist's report are reimbursed at the same rate as general medical treatment. It is advisable to limit yourself to the examinations that are really necessary, as there is a risk of restrictions here too, as with the health insurance companies, if the costs increase too much!