Patient presents with symptoms consistent with Attention-Deficit Hyperactivity Disorder (ADHD), predominantly hyperactive-impulsive presentation.  Clinical interview and behavioral observations indicate significant impairment in attention and impulse control.  Parent and teacher reports corroborate excessive motor activity, difficulty remaining seated in age-appropriate contexts, frequent interruptions, and impulsivity impacting social interactions and academic performance.  Symptoms present across multiple settings (home, school, social).  Differential diagnosis considered Oppositional Defiant Disorder and other disruptive behavior disorders; however, the pervasive nature of inattention and hyperactivity favors the diagnosis of ADHD.  Symptoms meet DSM-5 criteria for ADHD, Hyperactive-Impulsive Presentation.  The patient does not meet criteria for the combined presentation due to lack of sufficient inattentive symptoms.  Medical history reviewed, no significant neurological or medical conditions identified that could account for the observed symptoms.  Family history is positive for ADHD.  Treatment plan includes initiating behavior therapy focusing on impulse control and attention training.  Psychoeducation provided to parents regarding ADHD management strategies.  Follow-up scheduled in four weeks to assess treatment response and consider medication management options such as stimulants if behavioral interventions prove insufficient.  ICD-10 code F90.1 assigned.  Current Procedural Terminology (CPT) codes for evaluation and management will be determined based on time spent and complexity of medical decision-making.