Preoperative laboratory evaluation performed to assess surgical risk and optimize patient outcomes prior to scheduled [Surgical Procedure Name].  Patient presents for preoperative clearance and laboratory testing.  Review of systems pertinent to the planned procedure reveals [Pertinent Findings or None].  Medical history includes [List Relevant Medical History e.g., hypertension, diabetes, coronary artery disease] and current medications include [List Current Medications].  Surgical history includes [List Previous Surgeries].  Allergies include [List Allergies, or NKDA if no known drug allergies].  Physical examination reveals [Key Physical Exam Findings relevant to surgery].  Based on the patient's medical history, surgical plan, and current clinical presentation, the following laboratory tests were ordered: complete blood count (CBC) with differential, comprehensive metabolic panel (CMP), coagulation studies (PT/INR, PTT), and [Other relevant labs e.g., urinalysis, electrocardiogram ECG, chest x-ray CXR].  These tests are deemed medically necessary to evaluate for anemia, electrolyte imbalances, bleeding disorders, and other potential surgical complications.  Results of the preoperative lab evaluation will be reviewed upon completion and appropriate interventions implemented if necessary.  Patient education provided regarding preoperative preparation, including NPO guidelines.  The patient demonstrates understanding and verbalizes agreement with the plan.  Follow-up scheduled for [Date of next appointment] for review of laboratory results and further preoperative planning.  Preoperative risk assessment completed and documented.  ICD-10 code Z01.818 (Encounter for preprocedural laboratory examination) assigned.