Patient presented for intrauterine device removal.  Reasons for removal included desired pregnancy, IUD expiration, abnormal uterine bleeding, pelvic pain, or patient request.  The patient's gynecological history, including date of IUD insertion, IUD type (e.g., Mirena, Paragard, Kyleena, Liletta, Skyla), and any previous complications, was reviewed.  A bimanual pelvic examination was performed to assess uterine size, position, and adnexal tenderness.  The IUD strings were visualized, and the device was successfully removed using gentle traction.  Minimal bleeding was noted.  The patient tolerated the procedure well and reported immediate relief of any presenting symptoms related to the IUD.  Post-removal instructions, including information on contraception options, menstrual cycle changes, and potential complications such as infection or perforation, were provided.  The patient was advised to follow up if she experiences heavy bleeding, severe pain, fever, or foul-smelling discharge.  The removed IUD was inspected for completeness.  Relevant ICD-10 codes, such as Z30.030 (Encounter for removal of intrauterine contraceptive device), and CPT codes, such as 58301 (Removal of intrauterine contraceptive device), will be used for billing and coding purposes.