Patient presents with a skin lesion concerning for [diagnosis differential, e.g., basal cell carcinoma, squamous cell carcinoma, melanoma, seborrheic keratosis, actinic keratosis, dermatofibroma, nevus, cyst, etc.].  Lesion located on [anatomical location, e.g., back, left arm, right cheek, etc.] measuring [size in millimeters, e.g., 5 x 3 mm] and characterized by [morphology descriptors, e.g., well-demarcated, erythematous, pigmented, raised, ulcerated, crusted, scaling, etc.].  Patient reports [symptom onset and duration, e.g., lesion present for 2 months, asymptomatic, pruritic for 1 week, bleeding intermittently, etc.].  Past medical history includes [relevant PMH, e.g., history of skin cancer, sun exposure, immunosuppression, etc.].  Family history is significant for [relevant FH, e.g., melanoma, non-melanoma skin cancer, etc.].  Physical examination reveals [additional clinical findings, e.g., palpable lymphadenopathy, surrounding erythema, etc.].  Differential diagnosis includes [list of possible diagnoses].  Impression:  [working diagnosis].  Plan:  [treatment plan, e.g., shave biopsy, excisional biopsy, punch biopsy, dermatoscopy, referral to dermatology, observation, topical treatment, etc.].  Patient education provided regarding [relevant education topics, e.g., sun protection, skin self-exam, signs of infection, follow-up care, etc.].  ICD-10 code: [appropriate ICD-10 code].  CPT code: [appropriate CPT code, if applicable].  Follow-up scheduled for [date and time].