I have a Provider who likes to remove cyst by excision, regardless of the medical necessity factors. If the patient wants it removed, it gets removed. During the E/M, it’s documented as cyst and defers treatment for another day. Some Providers perform an excisional biopsy and send for Pathology and code it as benign w/Nodule (D49.5), as they "truly don’t know it’s a cyst or not", they rather have the Path confirm the diagnosis. While others code it as benign excision and use L72.0(cyst). Just trying to see if anyone has any advice. Just trying to keep it consistent, with the amount of Providers as we have. I’m sure it’s more of an internal policy, then it is against coding guidelines or medical necessity. Thanks in advance for any help!