Patient presents with signs and symptoms suggestive of hydrocephalus.  Clinical presentation includes [Insert specific symptoms e.g., headache, nausea, vomiting, blurred vision, gait disturbance, urinary incontinence, cognitive impairment].  Onset of symptoms was [Insert onset timeframe e.g., gradual, acute, subacute] and reported as [Insert characterization of symptoms e.g., progressively worsening, intermittent, constant].  Neurological examination revealed [Insert specific findings e.g., papilledema, sixth nerve palsy, altered mental status, positive Babinski sign].  Head circumference measurement is [Insert measurement if applicable, especially in pediatric cases].  Differential diagnosis includes [Insert relevant differential diagnoses e.g., brain tumor, intracranial hemorrhage, meningitis].  Diagnostic imaging, including [Insert imaging modality e.g., CT scan of the brain, MRI of the brain], demonstrates [Insert specific imaging findings e.g., ventricular enlargement, dilated ventricles, effacement of sulci, evidence of obstruction].  Based on these findings, a diagnosis of [Insert specific type of hydrocephalus e.g., communicating hydrocephalus, non-communicating hydrocephalus, normal pressure hydrocephalus] is made.  Treatment plan includes [Insert planned treatment e.g., neurosurgical consultation for possible shunt placement, endoscopic third ventriculostomy, medical management for symptom control].  Patient education provided regarding the condition, treatment options, potential risks, and benefits.  Follow-up scheduled for [Insert timeframe e.g., one week, two weeks] to monitor symptoms and assess treatment response.  ICD-10 code [Insert appropriate ICD-10 code e.g., N11.0, N11.9] is assigned.  CPT codes for procedures will be documented upon completion.