Subcutaneous lipoma back.  Patient presents with a palpable, soft, mobile, non-tender mass located on the [insert location on back: upper back, mid-back, lower back, left paraspinal region, right paraspinal region]. The lesion measures approximately [insert size in cm] and is consistent with a lipoma.  The overlying skin is normal in appearance without erythema, warmth, or ulceration.  Patient reports the mass has been present for [insert duration] and denies any associated pain, discomfort, or functional limitations.  Patient denies any history of trauma to the area.  Differential diagnosis includes epidermal inclusion cyst, sebaceous cyst, and other benign soft tissue tumors.  Impression: Benign lipoma of the back.  Plan:  Observation is recommended at this time.  Surgical excision can be considered for cosmetic reasons or if the lesion becomes symptomatic, grows rapidly, or interferes with function.  Patient education provided regarding the benign nature of lipomas and the option for surgical removal if desired.  Follow-up recommended in [insert timeframe] or sooner if needed.  ICD-10 code: D17.1 Lipoma of trunk.  CPT codes for potential future procedures include 21555 or 21556 depending on the size and complexity of the excision.  Keywords: lipoma removal, lipoma back treatment, lipoma excision, back lipoma symptoms, soft tissue tumor, benign tumor, skin lump, lipoma diagnosis, lipoma size, lipoma pain, lipoma doctor, lipoma surgery cost.