Patient presents with concerns regarding short stature.  Family history was reviewed including parental heights and growth patterns.  Patient's height and weight were measured and plotted on a growth chart, demonstrating height below the third percentile for age and sex.  The patient's bone age was assessed via radiographic examination of the left wrist and hand.  Current height velocity was calculated and compared to age-appropriate standards.  Assessment includes evaluation for proportionate vs disproportionate short stature,  considering potential underlying causes such as growth hormone deficiency, constitutional growth delay, genetic syndromes (Turner syndrome, Down syndrome, Noonan syndrome), hypothyroidism, chronic illnesses (celiac disease, inflammatory bowel disease, chronic kidney disease), and skeletal dysplasias (achondroplasia).  Differential diagnosis includes familial short stature.  Further investigations may include laboratory tests such as complete blood count, comprehensive metabolic panel, thyroid function tests, insulin-like growth factor 1 (IGF-1) and IGF binding protein 3 (IGFBP-3) levels. Genetic testing may be considered based on clinical findings.  Treatment plan will be determined based on the underlying etiology of the short stature and may include growth hormone therapy, if indicated.  Patient and family were educated about the diagnosis, diagnostic process, and potential treatment options.  Follow-up appointment scheduled to discuss results of investigations and formulate a definitive management plan.  ICD-10 code R62.52 Short stature, child unspecified will be utilized, subject to change pending further diagnostic clarification.  CPT codes for evaluation and management, radiographic imaging, and laboratory testing will be billed accordingly.