PATIENT NAME: Albert Alvarez
DATE OF VISIT: 5/25/XX
SUBJECTIVE: The patient, a 45
–
year
–
old male
with no history of
illness,
referred for excision of lesions on the cheek and ear.
ASSESSMENT: Several circumscribed, inflamed, keratotic papul
es on
the right cheek and left ear.
PROCEDURE: Excision of inflamed, keratotic papules on the righ
t cheek
and left ear.
Three 1 cm lesions on the right cheek.
One 2 cm lesion on the left ear.
Pathology on all lesions
–
benign.
Code for the physician
‘s office.
