so, questions:
Do you use champion abilities to help you cs? (when practicing, don't. when in real matches...it varies, still try not to)
have you tried repeated 5 min custom games to practice? (it didn't take me very many of these to triple my average cs)
Do you click the minion and check its actual hp total, or just guess by the health bar?
How do you normally do with trades against your lane opponent?
When in the game, and how often do you check your CS against your opponents?
for myself, the biggest issue for cs is that I use a large number of champions and they all have different attack speeds and more importantly their attack animations take different amounts of time to complete. the only ways to get used to that are 1) practice 2) play a warm-up custom game before going ranked.
last one here is curiosity: what champions have you been using?