Patient presents with a left foot ulcer.  Location of the ulcer is documented.  The ulcer's size, depth, and surrounding tissue characteristics (e.g., erythema, edema, induration, warmth, necrosis, granulation tissue) are noted.  Assessment includes evaluation for signs of infection (e.g., purulent drainage, foul odor, fever), peripheral artery disease (e.g., diminished pulses, cool extremity, pain with elevation), and neuropathy (e.g., loss of sensation, paresthesia).  Patient's history of diabetes, peripheral vascular disease, venous insufficiency, hypertension, smoking, and previous foot ulcers is documented.  Current medications, including antibiotics, antiplatelets, and analgesics, are recorded.  Differential diagnosis may include diabetic foot ulcer, venous stasis ulcer, arterial ulcer, pressure ulcer, and neuropathic ulcer.  Wound culture, if obtained, is pending.  Treatment plan includes debridement (if necessary), wound dressing (e.g., alginate, hydrogel, foam), offloading (e.g., total contact cast, crutches, specialized footwear), vascular assessment (e.g., Ankle-Brachial Index, Doppler ultrasound), and optimization of glycemic control (for diabetic patients).  Patient education provided on wound care, foot hygiene, and the importance of follow-up appointments.  Referral to specialists such as a podiatrist, vascular surgeon, or wound care specialist may be indicated based on ulcer etiology and severity.  ICD-10 codes for the specific ulcer type and any associated comorbidities are documented for medical billing and coding purposes. CPT codes for procedures performed, such as debridement or application of a cast, are also recorded.  Follow-up scheduled for wound reassessment and adjustment of treatment plan as needed.