Patient presents with complaints consistent with gastric ulcer, including epigastric pain, burning sensation in the stomach, nausea, and indigestion.  Symptoms are aggravated by food intake, particularly spicy foods, and relieved by antacids.  Patient reports a history of NSAID use (ibuprofen) for chronic back pain.  Physical examination reveals tenderness to palpation in the epigastric region.  Differential diagnoses include peptic ulcer disease, gastritis, gastroesophageal reflux disease (GERD), and functional dyspepsia.  To confirm the diagnosis of gastric ulcer, an esophagogastroduodenoscopy (EGD) was performed, revealing a well-defined ulcer located on the gastric lining.  Biopsy samples were taken to rule out Helicobacter pylori infection and malignancy.  Laboratory tests including a complete blood count (CBC) and comprehensive metabolic panel (CMP) were ordered.  Patient education provided regarding lifestyle modifications, including dietary adjustments, smoking cessation, and stress management.  Pharmacological management includes a proton pump inhibitor (PPI) prescribed for eight weeks to suppress gastric acid production and promote ulcer healing.  H. pylori testing is pending, and treatment will be adjusted accordingly.  Follow-up appointment scheduled in four weeks to assess symptom improvement and evaluate healing progress.  ICD-10 code K25.0 assigned for gastric ulcer.  Medical billing codes will reflect EGD procedure, laboratory tests, and medication management.