Patient presents with right arm swelling, concerning for lymphedema, deep vein thrombosis (DVT), cellulitis, or musculoskeletal injury.  Onset of swelling was noted (duration).  Patient describes the swelling as (character: localized, diffuse, pitting, non-pitting) and reports associated symptoms including (pain, redness, warmth, tenderness, numbness, tingling, limited range of motion, fever, chills).  Patient denies any recent trauma, surgery, insect bites, or known allergies.  Medical history includes (relevant medical conditions such as congestive heart failure, kidney disease, cancer, prior DVT, mastectomy, radiation therapy).  Medications include (list current medications).  Physical exam reveals (objective findings:  location and extent of swelling, skin color and temperature, presence of palpable cords, tenderness to palpation, capillary refill, pulses, range of motion, sensory examination).  Differential diagnosis includes DVT, lymphedema, cellulitis, musculoskeletal injury, allergic reaction, and venous insufficiency.  Ordered (diagnostic tests such as venous Doppler ultrasound, complete blood count (CBC), inflammatory markers).  Preliminary impression is (working diagnosis).  Plan includes (treatment plan such as elevation, compression therapy, anticoagulants, antibiotics, analgesics, physical therapy) and further investigation as indicated by diagnostic test results.  Patient education provided regarding signs and symptoms of complications and follow-up care instructions.  Return to clinic scheduled in (timeframe).  ICD-10 code (e.g., R22.2, I89.1, L03.111,  M79.89) will be determined upon completion of evaluation and diagnostic testing. CPT codes for evaluation and management (E/M) services will be based on complexity of the visit.