Patient presented for diagnostic hysteroscopy to evaluate abnormal uterine bleeding (AUB), specifically menorrhagia.  The patient reported heavy menstrual bleeding for the past six months, impacting her quality of life.  Relevant medical history includes multiparity, leiomyoma uteri diagnosed on prior pelvic ultrasound, and chronic iron deficiency anemia.  Prior to the procedure, informed consent was obtained, and the patient's questions regarding hysteroscopy risks, benefits, and alternatives were addressed.  The procedure was performed under general anesthesia using a rigid hysteroscope.  The cervix was dilated to accommodate the hysteroscope.  The uterine cavity was inspected systematically.  Endometrial polyps were visualized and removed via polypectomy.  No other intrauterine pathology, such as endometrial hyperplasia or submucosal fibroids, was identified.  The patient tolerated the procedure well.  Post-procedure, the patient was stable and discharged home with instructions for post-operative care, including pain management and signs of infection to monitor.  Specimens were sent to pathology for histopathologic evaluation.  Follow-up appointment was scheduled to discuss pathology results and further management, which may include hormonal therapy, endometrial ablation, or other treatment options depending on the final pathology report.  ICD-10 code N92.0 (Excessive and frequent menstruation) and CPT code 46379 (Diagnostic hysteroscopy with sampling; with endocervical curettage) were used for documentation.  This documentation supports medical necessity for the procedure performed.