Patient presents with symptoms consistent with pelvic organ prolapse (POP).  She reports pelvic pressure, vaginal bulge, and urinary symptoms including frequency, urgency, and occasional stress incontinence.  Symptoms are exacerbated by prolonged standing and straining.  Physical examination reveals stage II anterior vaginal wall prolapse and stage I apical prolapse using the Pelvic Organ Prolapse Quantification (POP-Q) system.  Bladder prolapse, cystocele, and rectocele were assessed.  Uterine prolapse was considered in the differential diagnosis.  Patient denies bowel incontinence or significant defecatory dysfunction.  Past medical history includes two vaginal deliveries and chronic constipation.  Surgical history is unremarkable.  Patient is motivated to pursue conservative management at this time.  Plan includes pelvic floor muscle therapy referral, pessary fitting trial, and lifestyle modifications including weight management and bowel regimen optimization for constipation.  Patient education regarding pelvic floor exercises, Kegel exercises, and proper body mechanics was provided.  Follow-up scheduled in 6 weeks to assess response to conservative therapy.  Differential diagnoses considered include urinary tract infection, overactive bladder, and interstitial cystitis.  ICD-10 code N81.1 for cystocele and N81.2 for uterine prolapse are considered, with final coding pending treatment response.  CPT codes for the evaluation and management, as well as any procedures performed, will be documented appropriately.