Patient presents for gastrostomy tube (G-tube) management and assessment.  Reasons for G-tube placement include dysphagia, malnutrition, failure to thrive, aspiration pneumonia, and neurological disorders impacting swallowing function.  History includes [Specific reason for G-tube, e.g., stroke, cerebral palsy, head and neck cancer]. Physical examination reveals a well-healed gastrostomy site with no signs of infection, erythema, leakage, or granulation tissue.  G-tube type is [PEG, low-profile gastrostomy button, etc.] and size is documented.  Tube patency is confirmed by aspiration and flushing with normal saline.  Current feeding regimen consists of [Formula name, volume, frequency, administration method e.g., bolus, continuous].  Tolerance to feedings is [Good, fair, poor] with symptoms such as [Nausea, vomiting, abdominal distension, diarrhea] if applicable.  Weight and BMI are tracked to monitor nutritional status.  Plan includes ongoing G-tube site care education, dietary consultation for optimized nutrition via enteral feeding, and monitoring for complications such as infection, dislodgement, or leakage.  Patient and caregiver demonstrate understanding of G-tube care instructions.  Follow-up appointment scheduled for [Date] to reassess G-tube function and nutritional status.  ICD-10 code [Assign appropriate code based on underlying condition necessitating G-tube, e.g., Z93.0 for presence of gastrostomy status, or appropriate code for dysphagia, etc.].  CPT codes for G-tube management may be applicable depending on services provided (e.g., replacement, revision).