Patient presents for evaluation and management of their ileal conduit.  The patient's urinary diversion, specifically a urostomy with an ileal conduit, was created on [Date of surgery] due to [Reason for urinary diversion, e.g., bladder cancer, neurogenic bladder].  Current assessment focuses on conduit function, stoma health, and potential complications.  The patient reports [Patient reported symptoms related to the ileal conduit, e.g.,  no leakage, mucus discharge, skin irritation, pain].  Physical exam reveals a [Description of stoma: e.g., pink, well-healed, beefy red, edematous] stoma with [Description of peristomal skin: e.g., intact, excoriated,  evidence of fungal infection].  The appliance is appropriately fitted and [Description of appliance: e.g., clean, without leakage].  No evidence of hernia or prolapse is noted.  Urine output is characterized as [Description of urine output: e.g., clear, cloudy, bloody, amount].  Patient education provided regarding stoma care, appliance changes, and signs and symptoms of infection, including pyelonephritis and urosepsis.  Plan includes [Plan of care, e.g., continued routine stoma care, referral to wound care specialist if needed,  follow up appointment scheduled].  ICD-10 code [Appropriate ICD-10 code, e.g., V44.0] and CPT code [Appropriate CPT code, e.g., 99213 for established patient office visit] assigned.  Differential diagnosis includes [Relevant differential diagnoses, e.g.,  UTI, peristomal skin infection, dehydration].