Patient presents with established chronic kidney disease stage 5, consistent with end-stage renal disease (ESRD) on hemodialysis, and concomitant hypertension.  The patient reports [frequency] dialysis sessions per week at [Dialysis Center Name or "home"].  Current blood pressure is [Systolic]/[Diastolic] mmHg. Review of systems reveals [List pertinent positives and negatives related to hypertension and ESRD, e.g., fatigue, shortness of breath, edema, chest pain, headache, interdialytic weight gain, compliance with fluid and dietary restrictions].  Physical exam reveals [relevant findings, e.g., arteriovenous fistula or graft assessment, presence of edema, cardiac auscultation findings, lung sounds].  Laboratory results include [List relevant labs including  BUN, creatinine, potassium, phosphorus, hemoglobin, hematocrit, and parathyroid hormone]. Medications include [List current medications including antihypertensives, phosphate binders, erythropoiesis-stimulating agents, vitamin D analogs, and other relevant medications].  Assessment: Hypertension, uncontrolled; end-stage renal disease on hemodialysis; [Mention other relevant diagnoses, e.g., anemia of chronic kidney disease, mineral and bone disorder]. Plan:  Optimize blood pressure management with adjustment of current antihypertensive therapy, considering medications suitable for patients with ESRD, such as [mention specific medication classes, e.g., ACE inhibitors, ARBs, calcium channel blockers]. Continue hemodialysis as prescribed.  Educate the patient on the importance of medication adherence, fluid restriction, and dietary compliance for blood pressure control and ESRD management.  Close monitoring of blood pressure, electrolytes, and fluid status is essential.  Follow-up scheduled in [ timeframe, e.g., 2 weeks] to reassess blood pressure control and overall renal function.  ICD-10 codes: I12.0 (Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end-stage renal disease), N18.6 (End-stage renal disease).  CPT codes for dialysis and evaluation and management services will be appended based on the specific services provided during the encounter.