Intrauterine pregnancy confirmed via in vitro fertilization (IVF). Patient presents for initial obstetric evaluation following successful embryo transfer.  Gravidity and parity documented as G(gravida)_P(para)_A(abortus)_(insert patient values) with this pregnancy representing an IVF-conceived pregnancy.  Beta-hCG levels (insert values and dates) confirm pregnancy.  Ultrasound findings (insert gestational age, fetal heart rate if applicable, and any relevant findings such as intrauterine location, number of gestational sacs, etc.).  Patient counseled on the risks and benefits of ongoing IVF pregnancy management, including ectopic pregnancy, miscarriage, multiple gestation, and preterm labor.  Plan for ongoing prenatal care established, including scheduled follow-up ultrasound and prenatal screening tests.  Patient education provided regarding early pregnancy symptoms, nutrition, and activity recommendations.  Current medications reviewed and adjusted as necessary for pregnancy.  Diagnosis: IVF pregnancy, intrauterine.  ICD-10 code: Z33.1 (encounter for assisted reproductive fertility procedure cycle).  CPT codes for today's encounter will reflect the evaluation and management service provided (e.g., 99202-99205 for new patient or 99211-99215 for established patient), as well as any additional procedures performed (e.g., ultrasound).  Patient understands and agrees with the plan of care.