Patient presents with pruritus, also known as itching,  of varying intensity.  Onset of itch was (duration) and is described as (character of itch: burning, tingling, prickly, etc.).  Location of pruritus is (specific body area or generalized).  Associated symptoms include (list any associated symptoms such as rash, skin lesions, dryness, redness, swelling, burning sensation, or systemic symptoms like fever, fatigue, or weight loss).  Patient denies any recent changes in medications, soaps, lotions, or detergents.  Patient denies known allergies.  Physical exam reveals (describe skin findings, e.g., erythema, excoriations, lichenification, dryness, or no visible abnormalities).  Differential diagnosis includes xerosis, allergic contact dermatitis, atopic dermatitis, urticaria, scabies, drug eruption, and systemic causes such as liver disease or kidney failure.  Assessment:  Pruritus, etiology to be determined.  Plan:  Initial treatment includes (e.g., over-the-counter emollients, topical corticosteroids, oral antihistamines).  Patient education provided on skin care and avoidance of potential irritants.  Follow-up recommended in (timeframe) to assess response to treatment and investigate underlying cause if pruritus persists.  ICD-10 code:  (appropriate code based on underlying cause if determined, otherwise L29.9  Pruritus, unspecified).  Medical billing codes will be determined based on the complexity of the visit and procedures performed.