Patient presents with skin lesions consistent with Granuloma Annulare.  The patient reports asymptomatic or mildly pruritic, flesh-colored, erythematous, or violaceous papules and plaques.  Lesions are arranged in an annular or arciform pattern, primarily located on the extremities, particularly the dorsal hands and feet.  The patient denies any systemic symptoms.  Differential diagnoses considered include tinea corporis, sarcoidosis, and nummular eczema.  Physical examination reveals well-demarcated, non-scaly annular plaques with a slightly raised border and central clearing.  No palpable lymphadenopathy noted.  KOH preparation negative for fungal elements.  Diagnosis of localized Granuloma Annulare established based on clinical presentation and negative KOH findings.  Biopsy not performed at this time due to classic presentation and patient preference.  Patient education provided regarding the benign nature of the condition and its typically self-limiting course.  Treatment options discussed, including topical corticosteroids for symptomatic relief of pruritus.  Patient opted for observation at this time.  Follow-up recommended in 4-6 weeks to monitor lesion resolution and discuss further management options if necessary.  ICD-10 code L92.0 assigned.