Patient presents with concerns consistent with possible pituitary adenoma.  Symptoms include [Specify symptoms e.g., headaches, visual disturbances such as bitemporal hemianopsia,  amenorrhea galactorrhea,  infertility,  libido changes,  acromegaly gigantism if applicable,  Cushing's disease symptoms if applicable, and hypopituitarism symptoms if applicable].  On physical examination, [Document relevant findings e.g., visual field deficits,  galactorrhea,  signs of acromegaly or Cushing's disease if present].  Differential diagnosis includes pituitary macroadenoma, pituitary microadenoma,  prolactinoma,  non-functioning pituitary adenoma,  craniopharyngioma,  meningioma, and Rathke's cleft cyst.  Initial laboratory workup includes [Specify tests ordered e.g.,  prolactin levels,  IGF-1,  cortisol,  free T4,  TSH,  LH,  FSH,  and other relevant pituitary hormone levels].  Imaging studies such as MRI of the pituitary with and without contrast are ordered to evaluate for sellar masses and assess tumor size and location.  Medical coding and billing will utilize ICD-10 codes [Specify relevant ICD-10 codes e.g., D35.2, E22.0,  E22.1 depending on specific tumor type and hormone secretion].  Treatment plan will be determined based on imaging and laboratory results and may include watchful waiting, medical management with dopamine agonists or somatostatin analogs, transsphenoidal surgery, or radiation therapy. Patient education regarding pituitary tumor symptoms, diagnosis,  treatment options,  potential complications such as hypopituitarism, and long-term follow-up care is provided.  Referral to endocrinology and neurosurgery is considered based on the specific case and tumor characteristics.