Patient presents with subjective complaints of restlessness, agitation, and inability to sit still.  This includes symptoms such as fidgeting, pacing, and a sense of inner unease.  Onset of restlessness is reported as (onset timeframe).  Patient denies specific pain but describes discomfort associated with the need to move constantly.  Objective findings include observed fidgeting, shifting in seat, and pacing during the examination.  No tremors or other abnormal movements noted.  Vital signs are within normal limits.  Differential diagnosis includes anxiety, akathisia, restless legs syndrome (RLS), withdrawal syndrome, hyperthyroidism, and adverse drug reactions.  Assessment of restlessness considers potential contributing factors including current medications, caffeine intake, substance use, and underlying medical or psychiatric conditions.  Patient's medical history includes (relevant medical history).  Current medications include (list medications).  Plan includes further investigation to determine the underlying etiology of the restlessness.  This may involve laboratory testing, medication review, andor consultation with specialists as deemed necessary.  Patient education provided regarding potential causes of restlessness and coping strategies such as relaxation techniques, mindfulness exercises, and regular physical activity.  Follow-up scheduled for (follow-up timeframe) to reassess symptoms and adjust management plan as needed.  ICD-10 code R45.1 (restlessness and agitation) is considered pending further investigation.  Medical billing codes will be finalized based on the determined etiology and treatment plan.