Patient presents with wrist joint pain, a common complaint encompassing various etiologies.  Onset of pain may be acute, subacute, or chronic.  The patient describes the pain as (sharp, dull, aching, throbbing, burning), localized to the (right, left) wrist.  Pain intensity is reported as (mild, moderate, severe) on a numeric pain scale of 0-10, currently at (number).  The patient identifies (exacerbating factors: movement, rest, specific activities such as typing or lifting) and (alleviating factors: rest, ice, heat, over-the-counter medications such as ibuprofen or acetaminophen).  Associated symptoms may include stiffness, swelling, limited range of motion, numbness, tingling, weakness, or clicking sensations.  Relevant medical history includes (prior wrist injuries, arthritis, carpal tunnel syndrome, diabetes, rheumatoid arthritis).  Physical examination reveals (tenderness to palpation over the (scaphoid, lunate, triquetrum, pisiform, trapezium, trapezoid, capitate, hamate),  swelling, erythema, warmth, deformity, crepitus).  Range of motion is (limited, full) with (flexion, extension, radial deviation, ulnar deviation) affected.  Neurovascular assessment is intact, with (normal, diminished) sensation in the distribution of the (median, ulnar, radial) nerve and (strong, weak) grip strength.  Differential diagnosis includes carpal tunnel syndrome, osteoarthritis, rheumatoid arthritis, wrist sprain, tendonitis, fracture, ganglion cyst, and De Quervain's tenosynovitis.  Initial treatment plan includes (rest, ice, compression, elevation), over-the-counter pain relievers such as NSAIDs, and activity modification.  Further investigation may include (X-ray, MRI, ultrasound) and referral to (orthopedics, hand surgery, rheumatology) if warranted.  Follow-up appointment scheduled in (timeframe) to reassess symptoms and adjust treatment plan as needed.  ICD-10 codes considered include (M25.531, M25.532, M79.10) and CPT codes for evaluation and management services will be applied based on the complexity of the visit.