Patient presents with intoeing, also known as pes varus or metatarsus adductus, impacting gait and lower extremity alignment.  Onset of intoeing was noted at (age of onset) and is (unilateral or bilateral).  Family history is (positive or negative) for intoeing, specifically (specify familial relation and condition if positive).  Patient denies pain, discomfort, or functional limitations.  Physical examination reveals (internal tibial torsion, femoral anteversion, or metatarsus adductus) as the primary cause of intoeing.  The thigh-foot angle is measured at (degrees), and the transmalleolar axis is (degrees).  Gait analysis demonstrates (describe gait abnormalities, e.g., tripping, stumbling, or inward foot progression).  Assessment includes differential diagnosis considerations such as clubfoot, cerebral palsy, and other neuromuscular conditions, which were ruled out based on (specific findings).  The intoeing is assessed as (mild, moderate, or severe) based on clinical findings.  Treatment plan includes (observation, physical therapy referral for stretching and strengthening exercises, orthotics, serial casting, or surgical intervention if indicated).  Patient education provided on the natural history of intoeing, expected prognosis, and importance of follow-up.  Follow-up scheduled in (timeframe) to monitor progression and adjust treatment plan as necessary.  ICD-10 code (specify appropriate code, e.g., M24.49 for other specified deformities of foot) and CPT codes (specify relevant codes for evaluation and management, e.g., 99213 for established patient office visit, or procedure codes if applicable) will be documented for billing and coding purposes.