Dermatologist report

Definition
This section has been translated automatically.

Central instrument of the dermatological procedure for early detection of occupational dermatoses. The report is prepared by the dermatologist (form F 6050) and informs the accident insurance (UV) institution for the first time of the presence of a skin disease in an insured person. With the dermatologist's report, the UV-carrier applies for the assumption of further therapy and prophylaxis costs according to § 3-BeKV. Only after approval by the UV-carrier can the treatment be prescribed and liquidated at the expense of the UV-carrier. The dermatologist's report is prepared by:

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.

General information
This section has been translated automatically.

As a rule, the prerequisite for the submission of a dermatologist's report is that the person concerned has been engaged in an activity subject to social insurance contributions or has a voluntary insurance relationship with the statutory accident insurance company. Foreign nationals also enjoy insurance protection under these conditions. So-called low-paid activities are also insured.
Doctors of other disciplines cannot submit a dermatologist's report. Excepted here are company doctors who have the area title "occupational medicine" or the additional title "company medicine".
Dermatologist's report (form AV 20 a): The report is already made in case of the possibility of occupational dermatosis. As a rule, these are skin diseases which concern number 5101 of the list of occupational diseases. The possibility of occupational dermatosis is given if a potentially harmful activity is carried out by an occupational patient:
- The localisation of the skin symptoms is an indication of this (usually hands),
- there is a temporal connection between the findings and the use of a new working substance,
- Decrease under work leave (weekends, holidays, periods of incapacity to work),
- sensitization to potential occupational substances.
- This also applies to pre-existing illnesses that have been aggravated by occupational noxious agents or plant diseases that have broken out as a result of the occupation (major partial cause). Dermatologist's report also if the patient has been referred by another physician (company physician) under suspicion of occupational dermatosis with a ÜV certificate (here even if the suspicion is not confirmed) and in order to document the course of the skin disease (relapses) in the case of the UV carrier.
The dermatologist's report requires the patient's information and consent. If the employer's information is not desired, this can be noted: 'The patient does not wish to be informed by the employer; consultation is necessary', but the benefit 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 UV-carrier, a report must be made even without the patient's consent, otherwise an administrative penalty is imminent!
In the dermatologist's report the UV-carrier applies for the assumption of further therapy and prophylaxis costs according to § 3 BeKV. Only after the consent of the UV-carrier can be prescribed and liquidated at its cost. The sole preparation of the dermatologist's report is reimbursed according to Ltnr. 82, the amount also includes the examination; in addition, tests required for diagnosis without the consent of the UV carrier can be invoiced: prick tests to determine atopy (up to 20), epicutaneous tests of professionally relevant allergens; rest and intracutaneous tests only in exceptional cases (latex, protein dermatitis).
Services rendered within the scope of the dermatologist's report are reimbursed with the amount of the general treatment. It is advisable to limit oneself to the really necessary examinations, because if the costs increase too much, there is a risk of restrictions as with health insurance companies!