Patient presents with confirmed intrauterine fetal demise (IUFD), also referred to as stillbirth.  Gestational age at time of diagnosis is documented as [Gestational Age] weeks and [Days] days based on [Method of Dating: LMP, Ultrasound, etc.].  Fetal demise was confirmed by the absence of fetal cardiac activity on ultrasound examination performed on [Date of Ultrasound].  Patient reports [Symptoms or Absence of Symptoms, e.g., decreased fetal movement, bleeding, cramping, no symptoms].  Relevant medical history includes [Maternal Medical History, e.g., GDM, chronic hypertension, previous pregnancy losses, infections].  Physical examination reveals [Relevant Physical Exam Findings, e.g., uterine size consistent with dates, closed cervix, no vaginal bleeding currently].  Differential diagnosis included but was not limited to missed miscarriage, blighted ovum, and ectopic pregnancy.  These were ruled out based on [Reasons for Ruling Out Other Diagnoses, e.g., ultrasound findings, beta-hCG levels].  Plan of care includes discussion of management options, including expectant management, medical induction of labor, and surgical intervention (dilation and curettage or dilation and evacuation).  Patient counseling addresses the emotional and psychological impact of fetal loss, available support resources (bereavement counseling, support groups), and risks and benefits of each management option.  Follow-up appointment scheduled for [Date of Follow-Up] to discuss chosen management plan and address any further questions or concerns.  ICD-10 code P95.1 (Fetal death of unspecified episode of care) is documented for billing and coding purposes.  This documentation is relevant for medical coding reimbursement and reflects current clinical practice guidelines for stillbirth management.