Patient presents with complaints of left foot pain.  Onset, duration, location, character, aggravating factors, and relieving factors of the left foot pain were assessed.  Patient describes the pain as (sharp, dull, aching, burning, throbbing, cramping, electric, shooting, etc.)  The pain is located in the (forefoot, midfoot, hindfoot, toes, heel, ankle, arch, sole, dorsum, etc.)  The onset of the pain was (sudden, gradual) and began (duration) ago.  The pain is aggravated by (weight-bearing, walking, running, standing, rest, certain shoes, etc.)  and relieved by (rest, elevation, ice, heat, medication, etc.).  Medical history was reviewed, including any history of trauma, arthritis, gout, diabetes, peripheral neuropathy, or previous foot injuries.  Family history of foot conditions was also assessed.  Physical examination of the left foot revealed (tenderness to palpation, swelling, erythema, warmth, deformity, limited range of motion, crepitus, etc.).  Neurovascular assessment of the left foot was performed, including assessment of pulses, sensation, and capillary refill.  Differential diagnoses include plantar fasciitis, Morton's neuroma, stress fracture, arthritis, tendonitis, gout, diabetic neuropathy, and peripheral artery disease.  Assessment for tarsal tunnel syndrome and other nerve entrapment syndromes was also conducted.  Preliminary diagnosis is (diagnosis).  Plan includes (diagnostic testing such as X-ray, MRI, ultrasound, blood work, etc.), (treatment options such as pain medication, orthotics, physical therapy, injection therapy, etc.), patient education regarding foot care and activity modification, and follow-up as needed.  Referral to a podiatrist or other specialist may be considered.  Coding considerations include ICD-10 code for pain in left foot (M79.672) and CPT codes for evaluation and management services, diagnostic testing, and therapeutic procedures.