Specimen Site: Right Medial Cheek

Multiple Choice

Specimen site: Right medial cheek
Specimen site: Left dorsal hand
Gross description: Right medial cheek: The specimen is one gray-white fragment measuring 0.3 × 0.2 cm. Totally submitted in one cassette with a request for levels labeled "A."
Left dorsal hand: The specimen is one gray-white fragment measuring 0.3 × 0.3 cm. Totally submitted in one cassette with a request for levels labeled "B."
Microscopic description: The right medial cheek shows atypical keratinocytes within the entire thickness of the epidermis extending to the stratum corneum. The lesion appears to have been excised. The dermis shows elastosis.
The dorsal hand shows hyperkeratosis. The epidermis is mildly acanthotic. There is extensive dermal elastosis.
Final diagnoses:
1) Right medial cheek, biopsy:
? Squamous cell carcinoma in-situ. (See comment.)
2) Left dorsal hand, biopsy:
? Dermal elastosis.
? No malignant changes seen.
Comment: The lesion from the cheek appears to reside within the confines of the histologic section. The skin lesion shows no invasive malignancy.
Select the appropriate ICD-10-CM and CPT code(s) :

A) D04.39, L87.2, 88305 x2
B) C41.10, L85.0, 88305
C) C41.10, L87.2, 88304 x2
D) C41.10, L85.0, 88305, 88305