Patient presents with a history of basal cell carcinoma (BCC).  The patient reports a previous diagnosis of basal cell skin cancer, confirmed by biopsy.  The location, size, and date of the original BCC are documented in the patient's prior medical records.  The patient denies any current signs or symptoms suggestive of recurrence, such as a new or changing skin lesion, non-healing sore, or persistent redness.  Physical examination reveals a well-healed scar at the site of the previous BCC excision.  No suspicious lesions are noted.  Assessment: History of basal cell carcinoma, status post excision.  Plan:  Patient education regarding sun protection measures including the regular use of sunscreen with an SPF of 30 or higher, protective clothing, and avoidance of prolonged sun exposure, especially during peak hours.  Skin self-examination techniques were reviewed with the patient.  Continued surveillance for recurrence is recommended, including annual skin examinations.  The patient understands the importance of early detection and prompt medical evaluation of any new or changing skin lesions.  ICD-10 code Z85.820 (Personal history of malignant neoplasm of skin) is applicable.  This encounter focuses on preventative care and surveillance for skin cancer.