Patient presents with suspected leak in Watchman device.  Presenting symptoms include [Specify symptoms, e.g., dyspnea, palpitations, signs of stroke or systemic embolism, chest pain, lightheadedness].  Onset of symptoms occurred [Specify timeframe, e.g., gradually over the past week, acutely two hours prior to arrival].  Patient's medical history significant for atrial fibrillation, for which the Watchman left atrial appendage closure device was implanted on [Date of implantation].  Previous echocardiograms demonstrated successful LAA occlusion with no evidence of peridevice leak.  Current transesophageal echocardiogram (TEE) reveals [Specify TEE findings, e.g., peridevice leak measuring X mm, flow across the device into the left atrial appendage].  Differential diagnosis includes residual leak, device embolization, and thrombus formation within the LAA.  Given the TEE findings, the diagnosis of Watchman device leak is made.  Treatment plan includes [Specify treatment plan, e.g., anticoagulation management with [Medication and dosage], consideration for percutaneous closure of the leak, surgical intervention, continued monitoring with repeat TEE]. Risks and benefits of each treatment option were discussed with the patient. Patient understands and agrees with the plan.  ICD-10 code T82.898A (Mechanical complication of other internal prosthetic devices, implants and grafts) and CPT code [Specify appropriate CPT code if applicable, e.g., 93313 for TEE] are considered appropriate for this encounter. Follow-up scheduled in [Timeframe] to reassess symptoms and evaluate treatment efficacy.