Just want to pass this one by for other opinions. Here is part of the note:

Cryotherapy to lesion on central chest (previously diagnosed as Actinic Keratosis by biopsy). A 4mm punch biopsy used to biopsy and remove small crusted lesion on superior aspect of left shoulder. Visually, the biopsy removed the entire lesion. As for the SCC in situ just above the left elbow, the area was prepped with Betasept, anesthetized with 1% Xylocaine with epinephrine and the 5mm lesion removed within an ellipse, cut transversely along skin lines. There was a minimum of 1.5 mm of normal skin as border around the lesion (,,,,,,,,,,goes on to describe intermediate closure, note: the pathology report shows a 2 x 0.5 x 0.4 mm lenticular excision of skin was submitted)

What I would like to know is your opinion of the CPT codes and modifiers you would use? I am leaning towards the following:

99212-25 (doctor also discussed acute urinary retention due to new medication, no testing or exam. Sorry didn't include that info above!)

All suggestion and opinions appreciated, Thanks!!