Patient presents with signs and symptoms suggestive of hypercortisolism, also known as Cushing's syndrome.  Clinical findings include weight gain, particularly central obesity with truncal fat deposition, moon face, and buffalo hump.  The patient also reports fatigue, muscle weakness, and easy bruising.  Skin changes such as thinning skin, striae (stretch marks), and hirsutism were noted.  Elevated blood pressure, glucose intolerance, and menstrual irregularities were also documented.  Differential diagnosis includes adrenal adenoma, pituitary adenoma causing Cushing's disease, ectopic ACTH secretion, and exogenous corticosteroid use.  Laboratory evaluation will include 24-hour urinary free cortisol, late-night salivary cortisol, and low-dose dexamethasone suppression test to confirm the diagnosis of hypercortisolism and determine the underlying etiology.  Imaging studies, such as MRI of the pituitary and adrenal glands, may be indicated based on laboratory results.  Treatment options will be discussed upon confirmation of the diagnosis and may include surgery, radiation therapy, or medical management with medications such as ketoconazole, mitotane, or metyrapone to control cortisol levels.  Patient education regarding lifestyle modifications, including diet and exercise, for managing symptoms and potential complications of hypercortisolism will be provided.  Follow-up appointments will be scheduled to monitor treatment response, adjust medications as needed, and manage any potential long-term complications such as osteoporosis, diabetes, and cardiovascular disease.  ICD-10 coding will be based on the confirmed etiology of hypercortisolism (e.g., E24.0 for Cushing's syndrome, E24.1 for Cushing's disease).  CPT coding for laboratory and imaging studies will be applied as appropriate.