Patient presents with right elbow pain.  Onset of pain was (duration) and is characterized as (sharp, dull, aching, throbbing, burning, etc.).  Pain severity is reported as (mild, moderate, severe) on a scale of 0-10, with 0 being no pain and 10 being the worst pain imaginable.  Patient reports the pain is (constant, intermittent) and (aggravated, alleviated) by (specific activities, movements, or positions e.g., lifting, extending, flexing, resting).  Associated symptoms may include stiffness, swelling, numbness, tingling, weakness, or limited range of motion.  Location of pain is specified as (lateral, medial, anterior, posterior) elbow.  Patient denies any recent trauma, injury, or history of elbow problems.  Physical examination reveals (tenderness, warmth, erythema, swelling, crepitus) over the (affected area).  Range of motion is (limited, normal) with (specific limitations e.g., flexion, extension, supination, pronation).  Neurovascular examination is intact.  Differential diagnoses include lateral epicondylitis (tennis elbow), medial epicondylitis (golfer's elbow), cubital tunnel syndrome, radial tunnel syndrome, osteoarthritis, and olecranon bursitis.  Plan includes (conservative management, medication, physical therapy, referral to specialist).  Patient education provided regarding activity modification, pain management strategies, and potential complications.  Follow-up scheduled in (duration) to reassess symptoms and response to treatment.  ICD-10 code M77.11 (Lateral epicondylitis, right elbow) or other appropriate code based on clinical findings.