Patient presents with complaints consistent with sternum fracture, possibly secondary to [mechanism of injury, e.g., blunt chest trauma from motor vehicle accident, fall, direct blow].  Onset of pain was [onset, e.g., immediate, delayed].  Pain is localized to the [location, e.g., sternal body, manubriosternal junction, xiphoid process] and is described as [character of pain, e.g., sharp, aching, burning, pressure-like].  Pain is [exacerbating/relieving factors, e.g., exacerbated by deep breaths, coughing, movement; relieved by rest, ice].  Associated symptoms may include [associated symptoms, e.g., chest wall tenderness, ecchymosis, crepitus, dyspnea, chest pain with inspiration].  Physical examination reveals [physical exam findings, e.g., point tenderness over the sternum, palpable step-off deformity, swelling, bruising].  Cardiopulmonary examination reveals [cardiopulmonary findings, e.g., normal heart sounds, clear lung sounds bilaterally, tachypnea].  Differential diagnosis includes costochondritis, rib fracture, cardiac contusion, and soft tissue injury.  Preliminary diagnosis of sternum fracture is made based on clinical presentation and physical examination findings.  Ordered chest X-ray, [views, e.g., PA and lateral], to confirm diagnosis and assess for associated injuries.  ECG performed to evaluate for cardiac involvement.  Treatment plan includes [treatment plan, e.g., pain management with analgesics, ice, rest, immobilization with a chest binder or sternal splint if indicated, pulmonary toilet, close monitoring for respiratory complications].  Patient education provided regarding pain management, activity restrictions, and signs and symptoms of complications such as pneumothorax or hemothorax.  Follow-up scheduled in [duration, e.g., one week] to assess healing and adjust treatment plan as needed.  ICD-10 code S22.  CPT codes for evaluation and management, radiology, and other procedures will be determined based on the services provided.