Patient presents with involuntary, rhythmic shaking, clinically consistent with tremors.  Onset of tremor symptoms (trembling, shaking, quivering) was reported as [Onset - gradual/sudden] [Duration].  Tremor characteristics include [Frequency - high/low frequency] and [Amplitude - fine/coarse] movements, primarily affecting the [Location - hands, head, voice, legs, trunk].  Patient reports [Aggravating factors - stress, caffeine, fatigue, medication] exacerbate the tremors, while [Relieving factors - rest, medication] provide some relief.  Family history is positive/negative for essential tremor or other movement disorders.  Neurological examination reveals [Specific neurological findings - e.g., postural tremor, intention tremor, resting tremor, kinetic tremor].  Differential diagnosis includes essential tremor, Parkinsonian tremor, dystonic tremor, cerebellar tremor, physiologic tremor, and drug-induced tremor.  Assessment considers the tremor frequency, amplitude, location, and associated neurological signs.  Diagnostic workup may include [Diagnostic tests - e.g., neurological examination, DaTscan, MRI brain, thyroid function tests, serum ceruloplasmin, toxicology screening].  Initial management plan includes [Treatment plan - e.g.,  propranolol, primidone, lifestyle modifications, occupational therapy, physical therapy, deep brain stimulation (DBS) - if applicable].  Patient education provided on tremor management strategies, medication side effects, and follow-up care.  Follow-up scheduled in [Duration] to assess treatment response and adjust management as needed.  ICD-10 code [Appropriate ICD-10 code - e.g., G25.0 for Essential tremor, R25.1 for Tremor, unspecified] is considered.  CPT codes for evaluation and management services will be based on time spent and complexity of medical decision making.