Patient presents with nocturnal enuresis, also known as bedwetting.  The patient reports involuntary urination during sleep, a primary symptom consistent with the diagnostic criteria for nocturnal enuresis in children and adolescents.  The patient's age is [Insert Age] years.  Onset of symptoms was reported as [Insert Age of Onset] years.  Frequency of enuresis episodes is [Insert Frequency, e.g., nightly, several times per week, less than twice per week].  No history of daytime incontinence, dysuria, or urgency is reported.  Family history is positive negative for enuresis.  Physical examination revealed no abnormalities of the genitourinary system.  Differential diagnosis includes but is not limited to bladder dysfunction, urinary tract infection, diabetes mellitus, and sleep disorders.  Initial treatment plan includes behavioral interventions such as fluid restriction in the evening, voiding before bedtime, and a reward system.  Patient and family education provided regarding enuresis management, including lifestyle modifications and the importance of consistent adherence to the treatment plan.  Follow-up scheduled in [Insert timeframe, e.g., 4 weeks] to assess treatment efficacy and consider further interventions such as enuresis alarms or medication if necessary.  ICD-10 code: [Insert appropriate ICD-10 code, e.g., F98.0, N39.4].  CPT codes for today's visit may include [Insert appropriate CPT code(s), e.g., 99213, 99214] depending on complexity.  The medical necessity for this encounter is related to the evaluation and management of nocturnal enuresis and associated symptoms impacting the patient's quality of life.