Patient presents with complaints of extremity numbness, encompassing possible paresthesia, tingling, or pins and needles sensations.  Onset, duration, location (unilateral vs. bilateral, upper vs. lower extremities, specific dermatomes), and character of the numbness were documented.  Associated symptoms such as pain, weakness, muscle cramps, temperature changes, skin discoloration, and trophic changes were explored.  Patient history including medical conditions such as diabetes, peripheral neuropathy, multiple sclerosis, vitamin B12 deficiency, carpal tunnel syndrome, cervical spondylosis, and vascular disease was reviewed.  Medications, family history, social history including smoking and alcohol use, and occupational exposures were noted.  Physical examination included neurological assessment evaluating sensation, reflexes, muscle strength, and coordination.  Diagnostic considerations include peripheral neuropathy, nerve compression, radiculopathy, and central nervous system disorders.  Differential diagnosis includes complex regional pain syndrome, vasculitis, and metabolic disorders.  Preliminary assessment suggests possible (insert provisional diagnosis, e.g., peripheral neuropathy secondary to diabetes).  Plan includes further investigation with (insert planned tests, e.g., nerve conduction studies, electromyography, blood tests) and symptomatic management with (insert treatment plan, e.g., gabapentin, physical therapy).  Patient education provided regarding potential causes, management strategies, and follow-up care.  Follow-up appointment scheduled in (duration) to review test results and adjust treatment plan as needed.  ICD-10 code (insert appropriate code, e.g., R20.2) considered pending further evaluation.  Coding for billing purposes will be finalized upon completion of the diagnostic workup.