Patient presents with complaints consistent with an incisional hernia.  Symptoms include a bulge or protrusion at the site of a previous surgical incision, potentially accompanied by pain, discomfort, or a pulling sensation.  The patient may describe the bulge as increasing in size with activities that increase intra-abdominal pressure such as coughing, sneezing, lifting, or straining.  Physical examination reveals a palpable defect in the abdominal wall at the location of the prior incision.  The size and reducibility of the hernia are documented.  Assessment includes consideration of associated symptoms such as nausea, vomiting, or changes in bowel habits, suggesting possible complications like incarceration or strangulation.  Differential diagnosis includes lipoma, hematoma, seroma, and other soft tissue masses.  Diagnosis of incisional hernia is confirmed by physical examination findings.  Imaging studies such as ultrasound or CT scan may be considered if the diagnosis is uncertain or to evaluate for complications.  Treatment options are discussed with the patient, including watchful waiting, conservative management with abdominal binders, or surgical repair.  Surgical options, such as open hernia repair with or without mesh reinforcement, or laparoscopic hernia repair, are explained, outlining the benefits and risks of each procedure.  Patient education addresses postoperative care, activity restrictions, and potential complications.  Follow-up appointments are scheduled to monitor the hernia and the patient's progress.  ICD-10 code K43.9 for ventral hernia without obstruction or gangrene is assigned, with additional specificity codes utilized as appropriate based on hernia location and characteristics.  CPT codes for surgical repair will be determined based on the specific procedure performed.