Patient presents with a chief complaint of pelvic pain.  Onset, duration, location, character, aggravating and alleviating factors of the pelvic pain were thoroughly explored.  Patient describes the pain as (sharp, dull, aching, cramping, burning, stabbing, intermittent, constant) located in the (lower abdomen, pelvis, suprapubic region, lower back, perineum).  Pain onset was (gradual, sudden) and has persisted for (duration).  Aggravating factors include (intercourse, urination, bowel movements, physical activity, menstruation) and alleviating factors include (rest, heat, medication).  Associated symptoms may include (dysmenorrhea, dyspareunia, abnormal vaginal bleeding, urinary frequency or urgency, constipation, bloating, nausea, fatigue).  Medical history includes (relevant gynecological, urological, gastrointestinal, musculoskeletal, and psychological conditions).  Surgical history, medication list including current contraceptives, and allergies were reviewed.  Physical examination including abdominal, pelvic, and musculoskeletal assessments were performed.  Findings include (tenderness to palpation, masses, abnormal discharge, muscle spasm, limited range of motion).  Differential diagnoses considered include endometriosis, pelvic inflammatory disease, uterine fibroids, ovarian cysts, irritable bowel syndrome, interstitial cystitis, musculoskeletal pain, and psychological factors.  Preliminary diagnosis of pelvic pain is made.  Plan includes (pelvic ultrasound, urinalysis, complete blood count, sexually transmitted infection testing, further imaging studies as indicated).  Patient education provided regarding pelvic pain management strategies including pain medication, heat or cold therapy, physical therapy, and stress management techniques.  Follow-up appointment scheduled to discuss results and further management.  ICD-10 code R10.2 (Pelvic and perineal pain) is considered.  Medical necessity for diagnostic testing and treatment plan will be determined based on patient presentation and clinical findings.