Patient presents with pruritus, also known as itching.  The onset of itching was [timeframe] and is described as [quality of itch: burning, tingling, stinging, etc.].  Location of the itch is [location: generalized, localized, specific body areas].  Associated symptoms include [list associated symptoms e.g., rash, skin lesions, dry skin, redness, swelling, scaling, warmth, pain, fever, fatigue, weight loss, etc.].  Patient denies [list pertinent negatives e.g., recent travel, new medications, known allergen exposure, changes in detergent or soap, etc.].  Physical examination reveals [objective findings e.g., erythema, excoriations, dryness, lichenification, papules, vesicles,  no visible rash, normal skin turgor, etc.].  Differential diagnosis includes xerosis cutis, eczema, atopic dermatitis, contact dermatitis, urticaria, psoriasis, drug eruption, scabies, insect bites, cholestasis, and systemic diseases such as chronic kidney disease, liver disease, and lymphoma.  Assessment:  Pruritus of [likely etiology if ascertainable, otherwise state undetermined etiology].  Plan:  Patient education provided on avoiding scratching, maintaining skin hydration with emollients, and identifying potential triggers.  [Treatment recommendations e.g., topical corticosteroids prescribed, antihistamines recommended, referral to dermatology if indicated, laboratory tests ordered if systemic disease suspected, etc.]. Follow-up scheduled in [timeframe] to assess response to treatment and further investigate etiology if necessary.  ICD-10 code [appropriate ICD-10 code for itch, such as L29.9 - Pruritus, unspecified,  or more specific code if etiology determined].