Patient presents with a scar consistent with [description: e.g., hypertrophic, keloid, atrophic, contracture].  The scar is located on the [anatomical location: e.g., anterior chest, left forearm, dorsal hand] and measures [dimensions: e.g., 3 cm x 2 cm].  The scar is [color: e.g., erythematous, hypopigmented, hyperpigmented] and [texture: e.g., smooth, raised, firm, indurated, depressed].  Patient reports [symptoms: e.g., pruritus, pain, tenderness, tightness, restricted range of motion].  Onset of the scar was [timeframe: e.g., approximately 6 months ago] following [etiology: e.g., surgical incision, laceration, burn].  The scar is [assessment: e.g., well-healed, stable, symptomatic, cosmetically concerning].  No signs of infection or inflammation are noted.  Differential diagnoses considered include keloid scar, hypertrophic scar, atrophic scar, and contracture scar.  Diagnosis of [specific scar type] is made based on clinical presentation and patient history.  Treatment plan includes [treatment options: e.g., silicone gel sheeting, pressure therapy, intralesional corticosteroid injections, laser therapy, surgical revision].  Patient education provided regarding scar management, including sun protection and moisturizing.  Follow-up scheduled in [timeframe: e.g., 4 weeks] to assess response to treatment and monitor for any changes.  ICD-10 code [relevant ICD-10 code, e.g., L90.5 for scar conditions] is assigned.  CPT codes for procedures, if performed, will be documented separately.