Patient presents with gross hematuria, defined as visible blood in the urine.  Onset of hematuria was reported as (onset date/duration).  The patient describes the urine color as (color description e.g., bright red, tea-colored, brown) and denies associated clots.  Associated symptoms include (list symptoms e.g., dysuria, frequency, urgency, flank pain, abdominal pain, fever, chills, weight loss, fatigue) or denies any associated symptoms.  Review of systems is otherwise unremarkable.  Patient medical history includes (list pertinent medical history e.g., hypertension, diabetes, kidney stones, bladder cancer, prostate cancer, BPH, UTI, sickle cell disease, bleeding disorders, recent trauma, current medications including anticoagulants, NSAIDs).  Family history is significant for (list pertinent family history e.g., kidney disease, bladder cancer, kidney stones).  Physical examination reveals (list pertinent physical exam findings e.g., vital signs stable, abdomen soft nontender, costovertebral angle tenderness present or absent, suprapubic tenderness present or absent).  Differential diagnosis includes urinary tract infection, nephrolithiasis, bladder cancer, kidney cancer, benign prostatic hyperplasia, prostatitis, trauma, medical renal disease, and medication-induced hematuria.  Initial laboratory evaluation includes urinalysis, urine culture, complete blood count, basic metabolic panel, coagulation studies (PT/INR, PTT), and creatinine.  Imaging studies may include renal ultrasound, CT urogram, or cystoscopy, depending on initial findings.  Patient education provided regarding hydration, avoiding irritants, and potential causes of hematuria.  Plan to follow up for discussion of results and further management based on diagnostic findings.  Diagnosis codes considered include N02.0, N02.8, R31.0, depending on the etiology.