Patient presents with left eye pain.  Onset, duration, character, aggravating and alleviating factors, and associated symptoms were explored.  Differential diagnosis includes corneal abrasion, foreign body, uveitis, iritis, optic neuritis, glaucoma, sinusitis, migraine, and cluster headache.  Patient reports [duration] of [character] left eye pain.  [Onset details - e.g., sudden, gradual].  [Aggravating factors - e.g., eye movement, light exposure].  [Alleviating factors - e.g., cool compresses, darkness].  Associated symptoms include [list associated symptoms - e.g., blurry vision, photophobia, headache, nausea, tearing, redness].  Visual acuity assessed, with results documented.  Extraocular movements intact.  [Describe findings from ophthalmic examination, including but not limited to: pupillary response, corneal assessment with fluorescein staining, intraocular pressure measurement, slit-lamp examination findings].  Based on clinical presentation and examination findings, the diagnosis of [specific diagnosis, e.g., corneal abrasion, or working diagnosis if further investigation needed] is made.  Treatment plan includes [treatment plan - e.g., artificial tears, ophthalmic antibiotic, pain management, referral to ophthalmologist].  Patient education provided regarding [relevant topics - e.g., eye care, medication administration, follow-up care, warning signs for complications].  Return to clinic or emergency department instructed if symptoms worsen or new symptoms develop.  ICD-10 code [relevant ICD-10 code] and CPT code[s] [relevant CPT code(s), if applicable] assigned.