Medical images that are part of the medical record need to be saved just as long as the medical record, which in most states is 7 years. Pictures are an essential part in the billing for MOHS, as images showing the defect are needed for the medical record.

Exceptions. Images taken for educational purposes or at medical conferences that are not parts of the medical record do not fall under the ambit for the strictures involved in retaining the integrity of the medical record. (Note that this issue has not been tested in court.) The taking of pictures for educational as opposed to clinical purposes must be made clear to the patient.