Patient presented for skin cancer screening due to family history of melanoma and personal concern regarding changing mole.  Patient reports no current skin concerns such as itching, bleeding, or pain.  Past medical history includes hypertension and hyperlipidemia.  Medications include lisinopril and atorvastatin.  Allergies include penicillin.  Physical examination reveals multiple benign nevi.  A suspicious lesion on the patient's back, measuring approximately 6mm in diameter, irregular borders, and variegated color, was identified.  Dermoscopic evaluation revealed atypical features concerning for melanoma.  Clinical diagnosis of suspicious pigmented lesion concerning for malignant melanoma.  Differential diagnoses include atypical nevus, basal cell carcinoma, seborrheic keratosis.  Plan includes full-thickness excisional biopsy of the lesion for histopathologic evaluation.  Patient education provided regarding sun protection, skin self-examination, and follow-up care.  ICD-10 code Z12.83 (Encounter for screening for malignant neoplasm of skin) and CPT code 99204 (Office or other outpatient visit for the evaluation and management of a new patient) were billed.  Follow-up appointment scheduled in two weeks to discuss biopsy results and treatment options, including potential surgical excision, Mohs surgery, or sentinel lymph node biopsy depending on pathology.  Patient understands and agrees with the plan.