Patient presents with complaints of paresthesia, characterized by abnormal skin sensations such as tingling, numbness, burning, or prickling.  Onset of symptoms was (onset date or duration).  Location of paresthesia is (body location, e.g., bilateral hands, left foot, perioral area).  Patient denies any associated weakness, motor deficits, or loss of coordination.  Review of systems reveals (positive or negative findings related to potential underlying causes, e.g., recent illness, medication changes, history of diabetes, vitamin B12 deficiency, carpal tunnel syndrome, multiple sclerosis, chemotherapy).  Physical examination reveals (objective findings, e.g., intact reflexes, normal muscle strength, decreased sensation to light touch in affected area, no evidence of rash or skin lesions).  Assessment:  Paresthesia of skin, likely secondary to (differential diagnosis, e.g., peripheral neuropathy, nerve compression, metabolic disorder, medication side effect).  Plan:  Ordered (diagnostic tests, e.g., complete blood count, metabolic panel, vitamin B12 levels, nerve conduction studies, electromyography) to further evaluate the etiology of paresthesia.  Patient education provided regarding potential causes of paresthesia, symptom management strategies, and the importance of follow-up care.  Return visit scheduled in (timeframe) to review test results and discuss treatment options.  ICD-10 code:  (appropriate code based on etiology, e.g., R20.2 for numbness and tingling, G50.1 for carpal tunnel syndrome, G63.2 for peripheral neuropathy).  Medical billing codes will be assigned based on the diagnostic and therapeutic procedures performed.