Patient presents with complaints of right wrist pain.  Onset of pain was (insert onset date or duration and mechanism of injury e.g., two days ago after a fall, gradual onset over several weeks).  Patient localizes pain to the (insert specific location e.g., radial aspect of the wrist, dorsum of the wrist) and describes the pain as (insert pain quality e.g., sharp, aching, throbbing).  Pain is aggravated by (insert aggravating factors e.g., wrist flexion, extension, gripping, lifting) and relieved by (insert relieving factors e.g., rest, ice, elevation).  Associated symptoms include (insert associated symptoms e.g., swelling, bruising, numbness, tingling, weakness, clicking, popping).  Patient denies (insert pertinent negatives e.g., fever, chills, night sweats, weight loss).  Physical examination reveals (insert objective findings e.g., tenderness to palpation over the scaphoid, decreased range of motion, positive Finkelstein's test, ecchymosis, edema).  Neurovascular examination of the right hand is intact.  Differential diagnosis includes right wrist sprain, right wrist fracture, carpal tunnel syndrome, De Quervain's tenosynovitis, and osteoarthritis of the wrist.  Preliminary diagnosis is right wrist injury.  Plan includes (insert plan e.g., radiographs of the right wrist, RICE therapy rest, ice, compression, elevation, referral to orthopedics, NSAIDs, splinting).  Patient education provided regarding activity modification and follow-up care.  Return to clinic scheduled in (insert timeframe e.g., one week, two weeks).  ICD-10 code to be determined based on imaging results.  CPT codes for evaluation and management will be documented based on complexity of visit.