Patient presents with signs and symptoms suggestive of muscular dystrophy.  Clinical manifestations include progressive muscle weakness, muscle wasting, and difficulty with ambulation.  Onset of symptoms was reported as [age of onset] and the progression has been characterized as [rate of progression: slow, rapid, etc.].  Family history is positive for [specific type of MD if known, or negative for neuromuscular disorders].  Physical examination reveals [specific findings, e.g., Gower's sign, calf pseudohypertrophy, decreased deep tendon reflexes].  Differential diagnosis includes other neuromuscular disorders such as Becker muscular dystrophy, limb-girdle muscular dystrophy, myotonic dystrophy, and spinal muscular atrophy.  Diagnostic workup may include creatine kinase levels, electromyography, muscle biopsy, and genetic testing for dystrophin gene mutations to confirm the diagnosis and specify the type of muscular dystrophy.  Initial assessment suggests [ suspected type of muscular dystrophy, e.g., Duchenne muscular dystrophy].  Treatment plan includes referral to [relevant specialists, e.g., neurologist, geneticist, physical therapist, occupational therapist].  Patient and family education regarding disease progression, management strategies, and available support resources is crucial.  Genetic counseling is recommended for family members.  Prognosis is dependent on the specific type of muscular dystrophy diagnosed.  Follow-up appointments are scheduled to monitor disease progression, adjust management as needed, and address any emerging complications.  ICD-10 code [relevant ICD-10 code, e.g., G71.0 for Duchenne muscular dystrophy] is considered for this encounter.  CPT codes for the evaluation and management, diagnostic tests, and procedures performed will be documented separately.