Patient presents for evaluation of hearing loss and consideration for hearing aids.  Chief complaint includes difficulty understanding speech, especially in noisy environments, along with frequent requests for repetition.  Patient reports gradual onset of hearing difficulty over the past several years.  Medical history includes hypertension, well-controlled with medication, and no known history of ototoxic medication use.  Family history is positive for age-related hearing loss.  Otoscopic examination reveals clear external auditory canals and intact tympanic membranes bilaterally.  Pure-tone audiometry confirms bilateral sensorineural hearing loss, predominantly high frequency, consistent with the patient's reported symptoms.  Speech recognition scores are reduced in noise.  Tympanometry results indicate normal middle ear function.  Diagnosis of bilateral sensorineural hearing loss is made.  Hearing aids are recommended to improve speech understanding and communication function.  Patient counseling regarding hearing aid styles, features, benefits, and expected outcomes was provided.  Risks and benefits of hearing aid use were discussed, including potential for feedback, occlusion effect, and the need for ongoing adjustments.  Referral to an audiologist for hearing aid fitting and follow-up care is scheduled.  Patient demonstrates understanding of recommendations and expresses motivation for pursuing amplification.  ICD-10 code H91.90, sensorineural hearing loss, unspecified, is assigned.  HCPCS codes V5010-V5298 will be considered based on the specific hearing aid selected during the audiology appointment.  Follow-up appointment scheduled in one month to assess hearing aid adaptation and address any concerns.