Patient presents with paraparesis, exhibiting weakness in both lower extremities.  Onset of paraparesis was [gradual/sudden] and began [duration] ago.  The patient reports [specific symptoms such as difficulty walking, leg stiffness, muscle spasms, sensory disturbances, bowel or bladder dysfunction].  Neurological examination reveals [detailed findings, including muscle strength grading using Medical Research Council scale, presence of spasticity, hyperreflexia, clonus, sensory deficits, and assessment of gait and balance].  Differential diagnosis includes spinal cord compression, multiple sclerosis, transverse myelitis, amyotrophic lateral sclerosis, and herniated disc.  Initial diagnostic workup may include spinal MRI, cerebrospinal fluid analysis, electromyography, and nerve conduction studies to determine the etiology of the paraparesis.  Patient education provided on paraparesis causes, symptoms, and potential treatment options.  Treatment plan may involve physical therapy for gait training and strengthening, occupational therapy to address activities of daily living, medications to manage spasticity or pain, and referral to specialists such as neurologists, neurosurgeons, or physiatrists as indicated.  Follow-up scheduled in [timeframe] to reassess the patient's condition and adjust the treatment plan as needed.  ICD-10 code [appropriate code based on etiology, e.g., G82.20 for unspecified paraplegia].