Patient presents for follow-up regarding chronic hepatitis B infection, diagnosed as a hepatitis B carrier.  The patient is asymptomatic and denies fatigue, abdominal pain, jaundice, or dark urine.  Physical examination reveals no hepatosplenomegaly or other significant findings.  Laboratory results demonstrate positive hepatitis B surface antigen (HBsAg), positive hepatitis B e antibody (anti-HBe), and detectable hepatitis B virus (HBV) DNA viral load.  Liver function tests, including ALT and AST, are within normal limits.  Diagnosis of hepatitis B carrier state confirmed.  Patient education provided regarding the importance of regular monitoring, including HBV DNA and liver function tests, to assess disease activity and the potential need for future antiviral therapy.  Discussion included transmission precautions, vaccination of household contacts, and avoidance of alcohol and hepatotoxic medications.  Patient understands the importance of ongoing surveillance and agrees to adhere to the recommended monitoring schedule.  ICD-10 code B18.0, chronic viral hepatitis B without delta-agent, assigned.  Follow-up scheduled in six months for repeat laboratory evaluation and clinical assessment.  No acute complications or exacerbations noted.  Patient tolerating current management plan well.