Patient presents with complaints suggestive of a metabolic bone disorder.  Symptoms include [Specify patient's symptoms, e.g., bone pain, muscle weakness, fractures, fatigue].  Patient history includes [mention relevant history such as previous fractures, family history of osteoporosis, dietary habits, medication use including corticosteroids, vitamin D supplements, bisphosphonates, and any history of malabsorption syndromes].  Physical examination revealed [document relevant physical findings such as tenderness to palpation, decreased range of motion, deformities, height loss].  Differential diagnosis includes osteoporosis, osteomalacia, Paget's disease of bone, hyperparathyroidism, and renal osteodystrophy.  Laboratory tests ordered include serum calcium, phosphorus, alkaline phosphatase, vitamin D levels (25-hydroxyvitamin D and 1,25-dihydroxyvitamin D), parathyroid hormone (PTH), creatinine, and complete blood count (CBC).  Imaging studies considered include bone densitometry (DEXA scan), X-rays, and if indicated, bone biopsy.  Assessment points towards possible [Specify suspected metabolic bone disorder, e.g., osteoporosis, vitamin D deficiency].  Plan includes further investigation with the aforementioned laboratory and imaging studies.  Patient education provided on the importance of calcium and vitamin D intake, weight-bearing exercise, fall prevention strategies, and potential medication management.  Follow-up scheduled to review results and discuss appropriate treatment plan, which may include medications such as bisphosphonates, denosumab, teriparatide, or calcitriol depending on the final diagnosis and severity of the bone disorder.  Medical coding considerations include ICD-10 codes for the specific metabolic bone disorder (e.g., M80.  for osteoporosis, M81.  for osteomalacia) and CPT codes for the diagnostic tests and procedures performed.