Patient presents with complaint of rough, bumpy skin, consistent with keratosis pilaris (KP).  Symptoms include small, painless bumps, primarily located on the upper arms, thighs, cheeks, or buttocks.  Patient reports the texture feels like sandpaper or chicken skin.  Lesions are small, keratotic papules, typically skin-colored, red, or slightly brown, without surrounding erythema.  Patient denies pruritus, pain, or any associated systemic symptoms.  Family history of keratosis pilaris is noted.  On physical examination, follicular hyperkeratosis is observed in the affected areas.  Diagnosis of keratosis pilaris is made based on clinical presentation and characteristic appearance.  Differential diagnoses considered include eczema, acne vulgaris, and follicular lichen planus.  Treatment plan includes patient education regarding the benign nature of the condition and recommendations for over-the-counter keratolytic agents containing urea, lactic acid, or salicylic acid.  Emphasis on regular moisturizing and gentle exfoliation is provided.  Patient advised that improvement may be gradual and the condition may be chronic.  Follow-up is recommended if symptoms worsen or if the patient has concerns.  ICD-10 code L87.0, Keratosis pilaris, is assigned.  CPT code 99213, established patient office visit, level 3, is billed for today's encounter.  The patient understands the plan and agrees to follow-up as needed.