Patient presents with a hyperkeratotic lesion, characterized by excessive epidermal thickening and keratin buildup.  The lesion location is documented as [location, e.g., plantar surface of the right foot] and measures [size in cm, e.g., 1.5 x 2.0 cm].  The lesion appears [color, e.g., yellowish-white] and has a [texture, e.g., rough, verrucous] surface.  Surrounding skin exhibits [description, e.g., mild erythema, no induration].  Patient reports [symptoms, e.g., asymptomatic, intermittent itching, pain with pressure].  Differential diagnoses considered include callus, wart, actinic keratosis, seborrheic keratosis, and squamous cell carcinoma.  Clinical findings suggest [most likely diagnosis, e.g., a plantar callus].  Plan includes [treatment, e.g., debridement, topical keratolytics, cryotherapy] and patient education on proper foot care and preventative measures.  Follow-up is scheduled in [duration, e.g., two weeks] to assess treatment response.  ICD-10 code [appropriate ICD-10 code, e.g., L84] is considered.  Medical billing codes for the evaluation and management services, as well as any procedures performed, will be determined based on the complexity of the visit.