Patient presents with symptoms suggestive of obstructive uropathy.  Chief complaints include flank pain, decreased urine output, and urinary hesitancy.  Patient reports a history of [insert relevant past medical history such as nephrolithiasis, benign prostatic hyperplasia, or pelvic malignancy].  Physical examination reveals [insert relevant physical exam findings such as costovertebral angle tenderness, palpable bladder distension, or suprapubic tenderness].  Differential diagnosis includes ureteral obstruction, bladder outlet obstruction, and intrinsic kidney disease.  Initial laboratory studies include urinalysis, complete blood count, basic metabolic panel, and serum creatinine.  Imaging studies such as renal ultrasound, CT urogram, or IV pyelogram are planned to assess the level and cause of obstruction.  Assessment:  Obstructive uropathy, likely secondary to [insert suspected cause based on history and initial findings].  Plan:  Initial management includes pain control with analgesics and hydration.  Urology consultation is requested for further evaluation and management.  Treatment options may include ureteral stenting, nephrostomy tube placement, or other procedures to relieve the obstruction depending on the etiology and severity.  Patient education provided regarding the condition, treatment options, and potential complications.  Follow-up scheduled to monitor renal function and symptom resolution.  ICD-10 code:  [Insert appropriate ICD-10 code such as N13.9, N13.0, N13.1, or other relevant codes depending on the specific cause of the obstruction].  CPT codes for procedures will be documented upon completion.