My dermatology provider almost always uses the heading "Tangential Biopsy Curettage" for his office procedures. I think that this makes coding confusing. The procedure note itself is not any more helpful. He documents that he performed a shave biopsy and then cauterized the wound. Then when he gets the pathology report, he is billing a destruction code. I don't code a lot for dermatology, but I feel like we can only charge a biopsy since this is what his note reflects. Any input would be appreciated. Thank you!