Patient presents with complaints consistent with ingrown toenail, onychocryptosis, involving the (rightleft) (great toehalluxother specify toe).  Onset reported as (duration).  Patient reports (pain, tenderness, swelling, redness, drainage, bleeding) at the affected site.  Visual examination reveals (nail plate curvature, penetration of nail border into surrounding soft tissue, hypergranulation tissue, erythema, edema, purulent drainage).  The area surrounding the ingrown toenail exhibits (mild, moderate, severe) inflammation.  Patient denies fever, chills, or systemic symptoms.  Differential diagnoses considered include paronychia, onychomycosis, and soft tissue infection.  Assessment: Ingrown toenail (ICD-10 L60.0).  Plan:  Discussed conservative management options including warm soaks, proper nail trimming techniques, and wearing appropriate footwear.  If conservative treatment fails, surgical intervention such as partial or total nail avulsion with or without matricectomy (CPT 28120, 28122, 28124) may be considered.  Patient education provided regarding proper foot hygiene and prevention of recurrence.  Follow-up appointment scheduled in (duration) to assess response to treatment.