Venous thrombosis diagnosed. Patient presents with complaints of [location]-sided pain, swelling, and [characterize pain, e.g., tenderness, aching, throbbing].  On physical exam, [affected limb/area] demonstrates [objective findings, e.g., erythema, edema, warmth, palpable cord].  Differential diagnosis includes deep vein thrombosis (DVT), superficial thrombophlebitis, muscle strain, cellulitis, and Baker's cyst.  D-dimer level [result].  Venous duplex ultrasound of the [affected area] ordered and reveals [ultrasound findings, e.g., presence of thrombus, noncompressibility of vein].  Assessment: Acute venous thrombosis, likely [DVT/superficial thrombophlebitis] affecting the [specific vein, e.g., femoral vein, great saphenous vein].  Risk factors for venous thromboembolism (VTE) assessed and include [list risk factors, e.g., recent surgery, prolonged immobility, oral contraceptives, family history].  Plan: Patient educated on the signs and symptoms of pulmonary embolism (PE).  Treatment initiated with [anticoagulation therapy, e.g., rivaroxaban, apixaban, warfarin] at a dose of [dosage] for [duration].  Compression therapy with [type of compression, e.g., graduated compression stockings, elastic bandages] recommended.  Patient advised to [activity level recommendations, e.g., ambulate frequently, avoid prolonged sitting or standing].  Follow-up appointment scheduled in [timeframe] to monitor treatment response and assess for complications.  ICD-10 code [appropriate code, e.g., I80.1, I80.2, I80.3] and CPT codes [appropriate codes for ultrasound and other procedures] will be used for billing.