S: SOME IMPROVEMENT IN PARESTHESIAS SINCE AMITRIPTYLINE, STARTED, THOUGH HE IS USING…

S: SOME IMPROVEMENT IN PARESTHESIAS SINCE AMITRIPTYLINE, STARTED, THOUGH HE IS USING IT ONLY SPORADICALLY. O: AS PER PREVIOUS VISIT, MOST NOTABLE FINDINGS BEING MODERATE DISTAL WEAKNESSOR RIGHT LOWER EXTREMITY, ANTALGIC GAIT, DIMINSHED ANKLE JERKS, IMPAIRED VIBRATORY SENSATION BELOW KNEES, AND LOW STOCKING SENSORY IMPAIRMENT. A: DISTAL MONONEUROPAHTY, RIGHT LOWER EXTREMITY, WITH SYMPTOMATIC RESPONSE TO PRESCRIBED AMITRIPTYLINE P: SUGGESTED HE TAKE AMITRIPTYLINE DAILY EACH EVENING AS ORIGINALLY PRESCRIBED. REASSESS IN 4 MONTHS. CODE USING ICD-10-CM AND CPT