Patient presents with complaints consistent with right femur fracture.  Onset of symptoms occurred on [Date of onset] following a [Mechanism of injury - e.g., fall, motor vehicle accident].  Patient reports pain, described as [Character of pain - e.g., sharp, throbbing, aching] in the right thigh.  Physical examination reveals [Physical exam findings - e.g., swelling, ecchymosis, tenderness to palpation, deformity] of the right thigh.  Neurovascular assessment of the right lower extremity reveals [Neurovascular status - e.g., intact distal pulses, normal sensation, capillary refill less than 3 seconds].  Radiographic imaging of the right femur demonstrates a [Type of fracture - e.g., transverse, spiral, comminuted] fracture of the [Location of fracture - e.g., distal, proximal, midshaft] femur.  Diagnosis of right femur fracture confirmed.  Differential diagnoses considered included [Differential diagnoses - e.g., soft tissue injury, hip fracture, knee injury].  Treatment plan includes [Treatment plan - e.g., pain management with analgesics, orthopedic consultation, surgical intervention, immobilization, physical therapy].  Patient education provided regarding right femur fracture care, including weight-bearing restrictions, medication management, and follow-up appointments.  Patient understands the risks and benefits of the proposed treatment plan.  Follow-up scheduled in [Follow-up timeframe].  ICD-10 code S72.  CPT codes for procedures performed will be documented separately.