Patient presents with complaints of pain and swelling in the right hand, consistent with a right hand contusion.  Onset of symptoms occurred on [Date of onset] following [Mechanism of injury - e.g., a fall onto an outstretched hand, direct blow to the hand].  The patient denies any loss of consciousness or other associated injuries.  Physical examination reveals localized tenderness, edema, and ecchymosis over the [Specific location on right hand - e.g., dorsum of the hand, palmar aspect of the hand, thenar eminence].  Range of motion is [Limited or within normal limits] with [Description of any limitations - e.g., pain on flexion, decreased grip strength].  No crepitus or deformity is palpable.  Neurovascular status is intact, with capillary refill less than 2 seconds and normal sensation to light touch.  Radiographs of the right hand were [Obtained or not obtained] and [Findings - e.g., were negative for fracture or revealed a nondisplaced fracture].  Diagnosis of right hand contusion was made.  Treatment plan includes RICE therapy (rest, ice, compression, elevation), over-the-counter analgesics such as ibuprofen or acetaminophen for pain management, and follow-up as needed.  Patient education provided on hand contusion care, including signs and symptoms of infection and when to seek further medical attention.  Hand contusion ICD-10 code S60.xxx is appropriate for this encounter.