Patient presents with a history of skin cancer.  This includes a confirmed diagnosis of [specific type of skin cancer, e.g., basal cell carcinoma, squamous cell carcinoma, melanoma] initially diagnosed on [date] at [location, e.g., left arm, back, scalp].  The initial lesion measured [size] and was characterized as [description, e.g., ulcerated, pigmented, nodular].  Treatment included [treatment modality, e.g., surgical excision, Mohs surgery, radiation therapy] performed on [date].  Pathology report confirmed [specific histological subtype].  Margins were reported as [status, e.g., clear, involved].  Patient reports [presence or absence of] recurrence.  Current skin examination reveals [description of current skin findings, including location, size, and characteristics of any lesions].  Assessment includes history of skin cancer with [status, e.g., no evidence of recurrence, recurrence present].  Plan includes [ongoing surveillance plan, e.g., regular skin examinations every [frequency], referral to dermatology, biopsy of suspicious lesions].  Patient education provided regarding sun protection, skin self-examination, and signs and symptoms of recurrence.  ICD-10 code [appropriate ICD-10 code, e.g., Z85.820] is assigned.  Medical necessity for ongoing surveillance is documented.