Patient presents with complaints of heel pain, consistent with plantar fasciitis and possible heel spur.  The patient reports localized pain in the heel, particularly with weight-bearing in the morning or after periods of rest.  Symptoms include sharp, stabbing pain upon initial ambulation, gradually improving with activity but worsening throughout the day, particularly after prolonged standing or walking.  The patient denies any recent trauma to the area.  Palpation reveals tenderness along the plantar fascia, specifically at the medial calcaneal tubercle.  Pain is elicited with dorsiflexion of the foot.  Clinical findings suggest plantar fasciitis, with a suspected calcaneal spur as a contributing factor.  Differential diagnoses include Achilles tendinopathy, stress fracture, and nerve entrapment.  Radiographic imaging of the foot is ordered to evaluate for the presence of a heel spur and rule out other pathologies.  Initial treatment plan includes conservative management with rest, ice, nonsteroidal anti-inflammatory drugs (NSAIDs), stretching exercises, and orthotic support.  Patient education regarding activity modification and proper footwear will be provided.  Follow-up appointment scheduled in two weeks to assess response to treatment and discuss further management options, including corticosteroid injections or physical therapy if symptoms persist.  ICD-10 code M77.31 (Calcaneal spur) is considered, pending radiographic confirmation.  CPT codes for evaluation and management, radiographic imaging, and potential procedures will be determined based on the services provided.