For any of you to do skin surgery, what do you choose for an ICD 9 code when completing the note and you do not have your pathology report back when you are doing the note? Right now, I am not using AC for billing purposes, but still print out a statement to attach to my other super bill. I am using the benign skin lesion codes, when the lesion may well be malignant. Should I be worrying about this or not? We do not do the final billing until we have the pathology report. The only other option I see is waiting to complete the note until you have the pathology report, unless there is an ICD 9 code that I am not aware of that I can use instead that would be appropriate