Determine the most accurate diagnosis codes and procedures codes along with any modifiers, if appropriate.
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Get it written →Determine the most accurate diagnosis codes and procedures codes along with any modifiers, if appropriate.
PATIENT: NEWCOMB, CLIFFORD ACCOUNT/EHR #: NEWCCL001 DATE: 10/15/18 This new patient is a 41-year-old male who presents with a 6-month history of a slowly growing, firm, welldefined, exophytic, and asymptomatic nodule measuring 1.2 cm in diameter. The lesion is on the proximal plantar surface. HISTORY: Approximately 3 months prior to this encounter, the patient self-treated the lesion (which he thought was a wart) for 2 weeks with a topical salicylic acid 17% liquid. There was no response. TESTING: An incisional biopsy and a saucerization biopsy is done. The histologic evaluation confirms eccrine poroma. PLAN: Surgical excision, with clear pathologic margins, is discussed and recommended to the patient. DX: Eccrine poroma Patient states he wants to discuss the surgical option with his wife. He says he will call our office within 72 hours to schedule surgery. Scott Cole, DPM
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