Peripheral venous disease (PVD) assessment reveals [mild, moderate, or severe] symptoms consistent with chronic venous insufficiency.  Patient presents with [aching, throbbing, cramping, heaviness, or leg fatigue] in the [affected extremity, e.g., right lower extremity, bilateral lower extremities].  Symptoms are [exacerbated, relieved] by [elevation, ambulation, compression].  Physical examination reveals [edema, varicose veins, skin changes such as hyperpigmentation or lipodermatosclerosis, ulceration if present, location and size of ulceration].  Pulses are [palpable, diminished, or absent; specify location, e.g., dorsalis pedis, posterior tibial].  Capillary refill is [normal or delayed; specify time in seconds].  Venous Doppler ultrasound of the [affected extremity, e.g., right lower extremity, bilateral lower extremities] is [ordered, scheduled, performed, reviewed] to assess for venous reflux and rule out deep vein thrombosis (DVT).  Differential diagnoses include DVT, peripheral artery disease (PAD), lymphedema, and cellulitis.  Assessment suggests [working diagnosis of chronic venous insufficiency, suspicion for PVD, confirmed PVD]. Plan includes [conservative management with leg elevation, compression therapy, exercise; pharmacological interventions such as venoactive medications; referral to vascular specialist for further evaluation and consideration for endovenous ablation or other interventional procedures; patient education regarding risk factor modification, including smoking cessation, weight management, and regular exercise].  Patient was counseled on the importance of compliance with the treatment plan and follow-up appointments.  ICD-10 code [I87.x, specify] and CPT codes for evaluation and management (E/M), venous Doppler ultrasound, and any procedures performed will be documented.  Return appointment scheduled for [date] to reassess symptoms and treatment efficacy.